Individual
DR. LAWRENCE CHAN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2524 SE 122ND AVE, PORTLAND, OR 97236-3101
(503) 761-2121
(503) 761-2122
Mailing address
2524 SE 122ND AVE, PORTLAND, OR 97236-3101
(503) 761-2121
(503) 761-2122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
793
OR
Other
Enumeration date
10/29/2005
Last updated
07/08/2007
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