MEDICARE: JAMES J LECHNER MD

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	174400000X	Specialist	MD00024676	WA
2	207RX0202X	Medical Oncology Physician	MD00024676	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992700611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES J LECHNER MD

Provider Business Mailing Address
First Line	:	PO BOX 3360
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3360
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 3RD AVE SE STE 200
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503
Country	:	US
Telephone Number	:	360-754-3934
Fax Number	:	360-943-8023

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	06/16/2021

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