Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD25268 | OR |
NPI | 1033164389 |
---|---|
Provider Name | Wayne Lawrence Strauss |
First Address | Portland, OR 97232-2684 |
Second Address | Portland, OR 97220-9442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 16/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
243029 | (05) | OR |
8365276 | (05) | WA |
H91911 | (02) | OR |