Individual
PAUL LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3205 SW CEDAR HILLS BLVD STE 9, BEAVERTON, OR 97005-1347
(971) 348-3178
(503) 350-3944
Mailing address
8150 SW BARNES RD APT J208, PORTLAND, OR 97225-6379
(510) 612-4966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3028
OK
152W00000X
Optometrist
Primary
4609
OR
152W00000X
Optometrist
8737T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E63G
MEDICARE
TX
Enumeration date
06/24/2015
Last updated
02/21/2022
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