Individual
DR. LAUREN MARY TITCHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 331-3441
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(971) 217-9008
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200200615
NC
207Q00000X
Family Medicine Physician
Primary
MD153935
OR
207Q00000X
Family Medicine Physician
MD2007-0710
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500640996
—
OR
Enumeration date
01/04/2006
Last updated
12/31/2024
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