Larry E Robertson O.D.

NPI 1013022664 - Optometrist - 152W00000X

NPI Details
NPI 1013022664
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12100 SE STEVENS CT STE 106
PORTLAND OR, 97266-8707, US
Phone (503) 653-1442
Fax
Business Location
20279 DANNY CT
OREGON CITY OR, 97045-8618, US
Phone (503) 655-1611
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 1179
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According to our database, Dr. Larry E Robertson O.D. NPI is 1013022664, taxonomy code is 152W00000X and license number is 1179, license state is located at Washington. Larry E Robertson O.D. physically located at 12100 Se Stevens Ct Ste 106, Portland OR, 97266-8707. NPI Number Larry E Robertson O.D. has the Individual type.

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1013022664 NPI number is provided on an as is basis without warranty of any kind. 1013022664 is maintained by the National Plan & Provider Enumeration System. The contents of Larry E Robertson O.D. are for informational purposes only.