Individual
GEOFFREY LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 653-6440
Mailing address
13970 SE ALDRIDGE RD, HAPPY VALLEY, OR 97236-6514
(503) 658-6414
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD11284
OR
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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