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Organization

LARRY GUERIN MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY GUERIN MD (OWNER)
(909) 335-8638
Entity
Organization

Contact information

Practice address
545 NE 47TH AVE, SUITE 306, PORTLAND, OR 97213-2238
(909) 335-8638
(909) 335-8644
Mailing address
UNIT 48, PO BOX 5000, PORTLAND, OR 97208-5000

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/29/2006
Last updated
01/17/2008
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