Individual
DR. LARRY LEE GUERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 NE 47TH AVE, SUITE 306, PORTLAND, OR 97213-2238
(503) 230-0390
(503) 230-0682
Mailing address
545 NE 47TH AVE, SUITE 306, PORTLAND, OR 97213-2238
(503) 230-0390
(503) 230-0682
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OR14016
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020698
—
OR
Enumeration date
07/26/2006
Last updated
07/08/2007
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