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1114036746
LANE WICKHAM BARTON
PORTLAND, OR
NPI
1114036746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR OR MD15964)
Enumeration Date
2006-08-29
Last Update Date
2022-02-04
Business Address
-- LANE WICKHAM BARTON MD
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-285-9321
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Mailing Address
-- LANE WICKHAM BARTON MD
3815 SW ERICWOOD LN
PORTLAND, OR 97221-4143
Phone number: 503-226-2775
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