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Individual

DAVID THAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
1075 SE BASELINE ST, HILLSBORO, OR 97123-4394
(503) 648-5236
Mailing address
1075 SE BASELINE ST, HILLSBORO, OR 97123-4394
(503) 648-5236

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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