Lavrsen, Michael
Lavrsen, Michael is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Doernbecher Children'S Hospital, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lavrsen, Michael can be contacted via phone (503) 418-6825.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Doernbecher Children'S Hospital
Portland OR 97239-3011
Phone: (503) 418-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | F5244 | California |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 235589 | Massachusetts |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | LL18907 | Oregon |
Profile Details
| NPI number | 1205962164 |
|---|---|
| LBN Legal business name | Lavrsen, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Apr 27th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205962164 | NPPES |
| California | MEDICAID | 000F52440 |
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