Provider Demographics
NPI:1700192523
Name:LAM, RYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:707 SW GAINES ST
Mailing Address - Street 2:OREGON HEALTH & SCIENCE UNIVERSITY
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2901
Mailing Address - Country:US
Mailing Address - Phone:503-494-2613
Mailing Address - Fax:503-494-1542
Practice Address - Street 1:707 SW GAINES ST
Practice Address - Street 2:OREGON HEALTH & SCIENCE UNIVERSITY
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2901
Practice Address - Country:US
Practice Address - Phone:503-494-2613
Practice Address - Fax:503-494-1542
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2016-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD1618132080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine