Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | DO26679 | OR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DO26679 | OR |
NPI | 1235179656 |
---|---|
Provider Name | Derek Edward Lamprecht |
First Address | Portland, OR 97209-2515 |
Second Address | Portland, OR 97209-2515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2007 |