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Individual

MS. DEEANN LAURA RANDALL-ZAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.B.O.C.

Contact information

Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6447
Mailing address
2794 NE 15TH ST, GRESHAM, OR 97030-4463
(503) 661-8710

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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