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Individual

JEFFREY H GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
9 MONROE PKWY STE 160, LAKE OSWEGO, OR 97035
(503) 636-2551
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2724T
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
233349
OR
Enumeration date
12/03/2005
Last updated
06/20/2023
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