Individual
DR. LARA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5100 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6102
(971) 202-5500
(971) 202-5555
Mailing address
5100 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6102
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD24344
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234897
—
OR
Enumeration date
06/03/2006
Last updated
01/22/2013
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