Individual
LARA CHAMBERLAIN ATWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # OP31, PORTLAND, OR 97239-3011
(808) 391-4667
Mailing address
3181 SW SAM JACKSON PARK RD # OP31, PORTLAND, OR 97239-3011
(808) 391-4667
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
D0085556
MD
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD192938
OR
Other
Enumeration date
03/27/2012
Last updated
11/12/2019
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