Individual provider · Type 1 NPI

Moritz Jonathan Lange, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1952102923 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Call (503) 494-8311 Map

Mailing address

100B Sunset Ave
Charlottesville, VA 22903-3624

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1952102923

Moritz Jonathan Lange, MD's National Provider Identifier is 1952102923, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Mar 24, 2025.