DEREK J LAM MD MPH NPI 1104938091

NPI Information

  • NPI: 1104938091
  • Provider Name: DEREK J LAM, MD, MPH
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3181 SW SAM JACKSON PARK RD
    PV-01
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-8135

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NPI Details

Derek J Lam, MD, MPH is an otolaryngology in Portland, OR with 22 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Derek J Lam, MD, MPH NPI is 1104938091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PV-01
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-8135
Fax: (503) 494-4631

The NPI 1104938091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YP0228XOtolaryngologyPediatric Otolaryngology157387OREGONNo
2207Y00000XOtolaryngologyMD157387OREGONYes
3207Y00000XOtolaryngologyML20007565WASHINGTONNo
4207YP0228XOtolaryngologyPediatric Otolaryngology35.095296OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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