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Contact Information

DOUGLAS M LACKOWSKI, MD
3600 N INTERSTATE AVE
INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR97227-1106
 Phone: 503-285-9321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DOUGLAS M LACKOWSKI · (Male)

NPI Number 1831292861
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 06/18/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • OR License # MD18334
  • WA License # WA MD00032902
Hospital affiliation(s)
  • KAISER SUNNYSIDE MEDICAL CENTER - (Acute Care)
    10180 SE SUNNYSIDE ROAD
    CLACKAMAS, OR 97015
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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