Individual
LORNA JEAN SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 NE BROADWAY ST STE 109, PORTLAND, OR 97232-1500
(503) 832-0607
(503) 386-3373
Mailing address
2100 NE BROADWAY ST STE 109, PORTLAND, OR 97232-1500
(503) 832-0607
(503) 386-3373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD169271
OR
Other
Enumeration date
06/14/2011
Last updated
04/27/2025
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