Individual
LAUREN WHIPPLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5005 NE SANDY BLVD, PORTLAND, OR 97213
(503) 233-6940
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270942
—
OR
01
—
49534
WA DEPT. OF L&I
WA
05
—
8154148
—
WA
Enumeration date
02/20/2006
Last updated
11/18/2020
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