Provider Demographics
NPI:1225106032
Name:COLMAN, LAURENCE (MD GENERAL SURGEON)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:
Last Name:COLMAN
Suffix:
Gender:M
Credentials:MD GENERAL SURGEON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2386 NW HOYT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3219
Mailing Address - Country:US
Mailing Address - Phone:503-228-5909
Mailing Address - Fax:503-226-4186
Practice Address - Street 1:2386 NW HOYT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3219
Practice Address - Country:US
Practice Address - Phone:503-228-5909
Practice Address - Fax:503-226-4186
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR255162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry