LANCE MARTIN STANG

PORTLAND, OR
NPI1700330149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: WA  PA60960296)
Enumeration Date2016-08-14
Last Update Date2024-12-19
Business Address
LANCE MARTIN STANG PA-C
606 NE BROADWAY ST
PORTLAND, OR 97232-1212
Phone number: 844-966-6777
Mailing Address
LANCE MARTIN STANG PA-C
1455 NW IRVING ST STE 600
PORTLAND, OR 97209-2277
Phone number: 620-375-2233