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Individual

ROY LICHTENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1698 E MCANDREWS RD, SUITE 300, MEDFORD, OR 97504-5589
(541) 732-7950
(541) 732-7901
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10626
OR

Other

Enumeration date
10/04/2006
Last updated
01/21/2010
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