NPI 1104890011 · live from the CMS NPI Registry
Lance J. Caddy, MD
Anesthesiology in Portland, OR. National Provider Identifier 1104890011, active.
NPI record
| NPI | 1104890011 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 707 Sw Washington St, Suite 700, Portland, OR 97205 |
| Practice phone | 503-299-9906 |
| Mailing address | Po Box 2040, Portland, OR 97208 |
| Enumerated | February 15, 2006 |
| Last updated | September 9, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | MD12078 (OR) |
| Anesthesiology, Pain Medicine | 207LP2900X | MD12078 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.