Individual
DR. JUSTIN LAPLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4830
Mailing address
PO BOX 25180, PORTLAND, OR 97298-0180
(503) 797-6356
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
7471506-1205
UT
2085R0202X
Diagnostic Radiology Physician
172123
OR
2085R0202X
Diagnostic Radiology Physician
273359
NY
2085R0202X
Diagnostic Radiology Physician
7471506-1205
UT
2085R0202X
Diagnostic Radiology Physician
MD450662
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD61218975
WA
390200000X
Student in an Organized Health Care Education/Training Program
0116020753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172123
OR STATE LICENSE
OR
05
—
500686293
—
OR
Enumeration date
06/27/2008
Last updated
07/15/2022
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