Individual
DR. MICHAEL SCOTT LALLEMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD222796
OR
208600000X
Surgery Physician
MD61152193
WA
2086S0102X
Surgical Critical Care Physician
MD222796
OR
2086S0127X
Trauma Surgery Physician
60912
TN
2086S0127X
Trauma Surgery Physician
Primary
MD222796
OR
2086S0127X
Trauma Surgery Physician
MD61152193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035455
—
WA
Enumeration date
05/17/2013
Last updated
03/23/2026
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