Individual
DR. SHAUN LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE, SUITE 220, PORTLAND, OR 97210-2900
(503) 413-8988
Mailing address
1130 NW 22ND AVE, SUITE 220, PORTLAND, OR 97210-2900
(503) 413-8988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10029323
TX
Other
Enumeration date
07/31/2008
Last updated
09/03/2010
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