Lindau, Mark S.
Lindau, Mark S. is an individual health care provider with primary practice located at 27 Ne Killingsworth St , Portland OR 97211-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lindau, Mark S. can be contacted via phone (503) 284-5239.Contact Information
Primary practice address
27 Ne Killingsworth St
Portland OR 97211-2623
Phone: (503) 284-5239
Fax: (503) 284-9162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD09938 | Oregon |
Profile Details
| NPI number | 1962589226 |
|---|---|
| LBN Legal business name | Lindau, Mark S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 28th, 2013 - about 13 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 | 1962589226 | NPPES |
| Oregon | MEDICAID | 111690 |
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