MEDICARE: DR. ALEXANDER D LAPIDUS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD24662	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	200132	OTHER	WA L & I
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8906934	OTHER	WA CRIME VICTIM
5	865374000	OTHER	BCBS OF OR

General Provider Information

NPI Number	:	1467496521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER D LAPIDUS M.D.

Provider Business Mailing Address
First Line	:	9340 SW BARNES RD
Second Line	:	SUITE 202
City	:	PORTLAND
State	:	OR
Zip	:	97225-6623
Country	:	US
Telephone Number	:	888-633-0087
Fax Number	:

Provider Business Practice Location Address
First Line	:	10150 SE 32ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97222-6516
Country	:	US
Telephone Number	:	503-513-1031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	03/19/2021

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