DR. Larry E Robertson, O.D.

NPI #1013022664 in Portland, Oregon

Provider Information

NPI Number: 1013022664
Entity Type: Individual
Name: DR. Larry E Robertson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12100 SE STEVENS CT STE 106
City: Portland
State: Oregon
ZIP Code: 97266-8707
Phone: (503) 653-1442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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