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Individual

ANDREW S LASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 N GRAHAM ST STE 355, PORTLAND, OR 97227-2005
(503) 413-3930
(503) 413-3948
Mailing address
501 N GRAHAM ST STE 355, PORTLAND, OR 97227-2005
(503) 413-3930
(503) 413-3948

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
2001004977
MO
2080P0216X
Pediatric Rheumatology Physician
Primary
MD161685
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205241201
MO
Enumeration date
07/21/2006
Last updated
03/23/2021
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