Individual
LAWRENCE L LANGSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12442 SW SCHOLLS FERRY RD, SUITE 106, TIGARD, OR 97223-3396
(503) 216-9200
(503) 216-9220
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18200
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054713
—
OR
01
—
110177566
RR MEDICARE
OR
Enumeration date
07/06/2006
Last updated
02/26/2014
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