Individual
GILBERT LE CREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 SE DOUGLAS ST, STE D, NEWPORT, OR 97365-4499
(541) 265-9458
(541) 265-6586
Mailing address
PO BOX 1367, NEWPORT, OR 97365-0106
(541) 265-9458
(541) 265-6586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3015ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276456
—
OR
Enumeration date
01/15/2006
Last updated
05/13/2011
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