MEDICARE: DR. ROGER BRENT LAWRENCE DMD

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	1223G0001X	General Practice Dentistry	D6374	OR

General Provider Information

NPI Number	:	1821053521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGER BRENT LAWRENCE DMD

Provider Business Mailing Address
First Line	:	5415 SW WESTGATE DR
Second Line	:	SUITE 206
City	:	PORTLAND
State	:	OR
Zip	:	97221-2409
Country	:	US
Telephone Number	:	503-292-1173
Fax Number	:	503-291-0353

Provider Business Practice Location Address
First Line	:	5415 SW WESTGATE DR
Second Line	:	SUITE 206
City	:	PORTLAND
State	:	OR
Zip	:	97221-2409
Country	:	US
Telephone Number	:	503-292-1173
Fax Number	:	503-291-0353

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1083567663 — MRS. MARIA MARGUERITE COLLINSWORTH
Practice Location Address:

5415 SW WESTGATE DR
PORTLAND, OR
97221-2409

Practice Phone: 503-645-3581
Practice Fax:

1326757790 — WILLIAM DEBICCARI
Practice Location Address:

5415 SW WESTGATE DR
PORTLAND, OR
97221-2409

Practice Phone: 503-645-3581
Practice Fax:

1306843669 — DR. RICHARD I. PARK DMD
Practice Location Address:

5415 SW WESTGATE DR , SUITE 207
PORTLAND, OR
97221-2409

Practice Phone: 503-292-9274
Practice Fax: 503-292-2337

1538160973 — STEVEN JOHN SCHEFFEL D.M.D.
Practice Location Address:

5415 SW WESTGATE DR , STE. 206
PORTLAND, OR
97221-2409

Practice Phone: 503-292-1173
Practice Fax: 503-291-0353

1275641284 — DR. JAY PRESTON MALMQUIST DMD
Practice Location Address:

5415 SW WESTGATE DR , SUITE #L-7
PORTLAND, OR
97221-2409

Practice Phone: 503-292-8824
Practice Fax: 503-297-7810

1841308863 — DR. STEPHEN PATRICK CLEMENS DMD
Practice Location Address:

5415 SW WESTGATE DR , SUITE L-7
PORTLAND, OR
97221-2409

Practice Phone: 503-292-8824
Practice Fax: 503-297-7810

Directions to “ DR. ROGER BRENT LAWRENCE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.