Individual
DENNIS PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
90 MARKET ST, STE 20, LEBANON, OR 97355-2396
(541) 451-1144
(541) 451-1785
Mailing address
90 MARKET ST, STE 20, LEBANON, OR 97355-2396
(541) 451-1144
(541) 451-1785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1400ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232983
—
OR
Enumeration date
05/24/2005
Last updated
06/18/2008
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