Individual
DOUGLAS RAYMOND LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24461 E WELCHES RD, WELCHES, OR 97067-7067
(971) 333-0494
Mailing address
PO BOX 729, WELCHES, OR 97067-0729
(971) 333-0494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
364110-1205
UT
207Q00000X
Family Medicine Physician
Primary
MD18316
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150879
—
OR
Enumeration date
08/19/2008
Last updated
08/15/2024
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