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Organization

LYNN MADSEN PC

Active
Other names
Be Well Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MADSEN MD (PRESIDENT)
(971) 404-6862
Entity
Organization

Contact information

Practice address
2320 SW BENZ FARM CT, PORTLAND, OR 97225-3102
(971) 404-6862
(503) 914-0341
Mailing address
2320 SW BENZ FARM CT, PORTLAND, OR 97225-3102
(971) 404-6862
(503) 914-0341

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19524169668
INDIV NPI
OR
Enumeration date
12/01/2006
Last updated
12/04/2007
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