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Individual

DR. LYNN H UESHIRO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-3133
(503) 352-2261
Mailing address
1257 NE PARKSIDE DR, HILLSBORO, OR 97124-4094
(503) 970-0719

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2819ATI
OR
152W00000X
Optometrist
333
NV
152W00000X
Optometrist
458
HI
152W00000X
Optometrist
5365T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230629
OR
Enumeration date
06/01/2006
Last updated
07/08/2007
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