Provider Demographics
NPI:1801822796
Name:LAZARUS, HOWARD M (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:LAZARUS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1585 SW MARLOW AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-5176
Mailing Address - Country:US
Mailing Address - Phone:503-692-8560
Mailing Address - Fax:503-691-0866
Practice Address - Street 1:9155 SW BARNES RD
Practice Address - Street 2:SUITE 840
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6625
Practice Address - Country:US
Practice Address - Phone:503-297-3778
Practice Address - Fax:503-297-7853
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-04-20
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Provider Licenses
StateLicense IDTaxonomies
ORMD24139207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181844Medicaid
ORG04254Medicare UPIN
ORR114180Medicare PIN