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Individual

BARBARA A LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1321 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220-9436
(503) 215-4250
(503) 215-4225
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24087
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286630
OR
Enumeration date
06/30/2006
Last updated
03/19/2021
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