Individual
RACHAEL LYNN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7672
(503) 418-0049
Mailing address
2241 LLOYD CTR, PORTLAND, OR 97232-1315
(503) 494-6107
(503) 494-0470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2713ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294170
—
OR
01
—
P00845504
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
09/01/2011
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