Individual
DR. RICHARD LYNN MENTZER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20270 BLACHLY GRANGE ROAD, BLACHLY, OR 97412
(541) 925-4151
(541) 925-3033
Mailing address
20270 BLACHLY GRANGE ROAD, BLACHLY, OR 97412
(541) 925-4151
(541) 925-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08548
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196774
—
OR
Enumeration date
12/12/2006
Last updated
10/15/2007
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