Individual provider · Type 1 NPI

Lyle James Fagnan, MD

Family Medicine Physician · Portland, OR

NPI number 1669487161 Active

Practice location

4411 SW Vermont St
Portland, OR 97219-1020

Call (503) 494-9992 Map

Mailing address

3181 SW Sam Jackson Park Rd, L222
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD10673 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1669487161

Lyle James Fagnan, MD's National Provider Identifier is 1669487161, issued on Jul 31, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2007.