Healthcare Provider Details

I. General information

NPI: 1275531055
Provider Name (Legal Business Name): CHRIS JAMES LAMPERT D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 SW WESTGATE DR SUITE 300
PORTLAND OR
97221-2420
US

IV. Provider business mailing address

5440 SW WESTGATE DR SUITE 300
PORTLAND OR
97221-2420
US

V. Phone/Fax

Practice location:
  • Phone: 503-231-1111
  • Fax: 503-236-1616
Mailing address:
  • Phone: 503-231-1111
  • Fax: 503-236-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD7473
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: