Imelda P Lacayanga
MD | Pediatrics | Female
Imelda P Lacayanga, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Imelda P Lacayanga is
9427 Sw Barnes Rd, Suite 396, Portland, Oregon - 97225-6652. She can be contacted on phone at
503-216-6550 and fax number 503-216-6575.
Imelda P Lacayanga is a sole proprietor of her business.
NPI number (Unique professional ID) for Imelda P Lacayanga is
1033145222 which was assigned by NPPES on 23 Jun, 2006 and it was last updated on 02 Oct, 2020.
Imelda P Lacayanga license number is
MD19170 for Pediatrics (208000000X) in Oregon.
Imelda P Lacayanga is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Imelda P Lacayanga basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Imelda P Lacayanga |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Imelda P Lacayanga address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9427 Sw Barnes Rd, Suite 396
Portland, OR, 97225-6652
United States |
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| Phone Number : | 503-216-6550 |
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| Fax Number : | 503-216-6575 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033145222 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Jun, 2006 |
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| Last Updated On : | 02 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Imelda P Lacayanga are as mentioned. Primary taxonomy code for Imelda P Lacayanga, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD19170 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Imelda P Lacayanga such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 067546 | MEDICAID | OR | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ilacayanga102373@oc.providencedirect.org
| No affiliation |
|
| 9427 SW BARNES RD STE 395,
PORTLAND, OR, 97225-6652
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3158
Portland, OR, 97208-3158
United States |
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Business Location:
Patients can refer following map for directions to
Imelda P Lacayanga practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.