Langsdorf, Lawrence L

Langsdorf, Lawrence L is an individual health care provider with primary practice located at 12442 Sw Scholls Ferry Rd Suite 106, Tigard OR 97223-3396. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Langsdorf, Lawrence L can be contacted via phone (503) 216-9200.

Contact Information

Primary practice address
12442 Sw Scholls Ferry Rd Suite 106 Tigard OR 97223-3396
Fax: (503) 216-9220
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD18200 Oregon

Profile Details

NPI number 1639101439
LBN Legal business name Langsdorf, Lawrence L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639101439 NPPES
Oregon Other 110177566 RR MEDICARE
Oregon MEDICAID 054713 RR MEDICARE

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