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1700330149
LANCE MARTIN STANG
PORTLAND, OR
NPI
1700330149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-08-14
Last Update Date
2018-11-29
Business Address
LANCE MARTIN STANG PA-C
606 NE BROADWAY ST
PORTLAND, OR 97232-1212
Phone number: 844-966-6777
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Mailing Address
LANCE MARTIN STANG PA-C
1455 NW IRVING ST STE 600
PORTLAND, OR 97209-2277
Phone number: 620-375-2233
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