Individual
LYLE HENRY REGIMBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE CENTRAL, 3600 N INTERSTATE AVE, PORTLAND, OR 97227-1116
(503) 331-6330
Mailing address
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE CENTRAL, 3600 N INTERSTATE AVE, PORTLAND, OR 97227-1116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2884T
OR
152W00000X
Optometrist
4041
WA
Other
Enumeration date
08/31/2006
Last updated
02/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us