Cheldelin, Lawrence Vernon

Cheldelin, Lawrence Vernon is an individual health care provider with primary practice located at 501 N Graham St Suite 501, Portland OR 97227-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Cheldelin, Lawrence Vernon can be contacted via phone (503) 282-7002.

Contact Information

Primary practice address
501 N Graham St Suite 501 Portland OR 97227-1654
Fax: (503) 280-1290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD10538 Oregon

Profile Details

NPI number 1275641078
LBN Legal business name Cheldelin, Lawrence Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275641078 NPPES
Oregon MEDICAID 241885

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