Individual
JESSICA DUAN LUBAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 SE MAIN ST, SUITE 342, PORTLAND, OR 97216-2448
(503) 255-5244
(503) 255-5120
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD161491
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044440
—
WA
05
—
500657210
—
OR
Enumeration date
06/12/2008
Last updated
12/02/2021
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