Individual
LARRY J BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
220 N ADAIR ST, CORNELIUS, OR 97113-8404
(503) 207-0630
(503) 359-5929
Mailing address
1154 NE ALEXANDRIA ST, HILLSBORO, OR 97124-4049
(503) 809-9806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4410ATI
OR
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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