Individual provider · Type 1 NPI

Jack Harris Lazar, MD

Student in an Organized Health Care Education/Training Program · Vancouver, WA

NPI number 1952259285 Active

Practice location

2211 NE 139th St
Vancouver, WA 98686-2742

Call (360) 397-1985 Map

Fax (360) 604-1604

Mailing address

2442 NE 8th Ave
Portland, OR 97212-3861

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 1952259285

Jack Harris Lazar, MD's National Provider Identifier is 1952259285, issued on Mar 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 20, 2026.