Lavrsen, Michael

Lavrsen, Michael is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Doernbecher Children'S Hospital, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lavrsen, Michael can be contacted via phone (503) 418-6825.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Doernbecher Children'S Hospital Portland OR 97239-3011
Phone: (503) 418-6825
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X F5244 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 235589 Massachusetts
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X LL18907 Oregon

Profile Details

NPI number 1205962164
LBN Legal business name Lavrsen, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 27th, 2010 - about 15 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 1205962164 NPPES
California MEDICAID 000F52440

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