Individual
LAWRENCE E REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16114 NW CANTERWOOD WAY, PORTLAND, OR 97229-7848
(503) 430-0487
(503) 430-0487
Mailing address
16114 NW CANTERWOOD WAY, PORTLAND, OR 97229-7848
(503) 430-0487
(503) 430-0487
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1361ATI
OR
152W00000X
Optometrist
1494
AZ
152W00000X
Optometrist
OD00001178
WA
Other
Enumeration date
07/06/2006
Last updated
07/16/2007
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