Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD23953 | OR |
NPI | 1013932854 |
---|---|
Provider Name | Robert Charles Lufkin |
First Address | Portland, OR 97213-2982 |
Second Address | Portland, OR 97213-2982 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 19/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
232036 | (05) | OR |
8380271 | (05) | WA |
H96573 | (02) | OR |