Individual
CHARLENE WANG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
(503) 494-4953
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
(503) 494-4953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD205699
OR
2080P0205X
Pediatric Endocrinology Physician
Primary
MD205699
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2014
Last updated
04/30/2024
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