Individual
LAURA P MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10819 SE STARK ST, PORTLAND, OR 97216-3161
(503) 255-2291
Mailing address
1400 SE LAVA DR APT 13, MILWAUKIE, OR 97222-3400
(302) 724-0802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4740
OR
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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