Individual
DR. RICHARD ROY LETHERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-8828
(541) 265-8829
Mailing address
14 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-8828
(541) 265-8829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1707ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005286001
REGENCE BCBSO
—
05
—
086645
—
OR
Enumeration date
09/20/2006
Last updated
02/07/2008
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