person
Dakota James Lundstrom, MD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1871179812

Dakota James Lundstrom is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Dakota James Lundstrom practices in Portland, OR and has the professional credentials of MD. The NPI Number for Dakota James Lundstrom is 1871179812 and holds a License No. (Oregon).

The current practice location address for Dakota James Lundstrom is 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR and can be reached out via phone at 218-750-0417.

Location: 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1871179812
Provider Name
Dakota James Lundstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd # L-579, Portland, OR, 97239-3011
Phone Number
218-750-0417
Fax Number
Provider Enumeration Date
03/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd # L-579
City
State
Zip
97239-3098
Phone Number
218-750-0417
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd # L-579
City
State
Zip
97239-3098
Phone Number
218-750-0417
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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