Provider Demographics
NPI:1235496944
Name:CARDWELL, LORI (MD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:OHSU GASTROINTESTINAL & GENERAL SURGERY AT CHH
Mailing Address - Street 2:3303 SW BOND AVENUE
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4501
Mailing Address - Country:US
Mailing Address - Phone:503-494-4373
Mailing Address - Fax:503-418-4189
Practice Address - Street 1:OHSU GASTROINTESTINAL & GENERAL SURGERY AT CHH
Practice Address - Street 2:3303 SW BOND AVENUE
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4501
Practice Address - Country:US
Practice Address - Phone:503-494-4373
Practice Address - Fax:503-418-4189
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD184172208600000X
ORPG178625208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery