Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyle James Fagnan, MD

Individual provider Family Medicine Physician · NPI 1669487161

Lyle James Fagnan, MD is a Family Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4411 SW Vermont St
Portland, OR 97219-1020
Phone: (503) 494-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD10673 (OR)

Record details

NPI number1669487161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 13, 2007

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