Individual
MR. LAWRENCE THOMAS DENIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
9427 SW BARNES RD, PORTLAND, OR 97225-6652
(503) 203-2040
Mailing address
9427 SW BARNES RD, PORTLAND, OR 97225-6652
(503) 203-2176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00299
OR
Other
Enumeration date
08/18/2006
Last updated
07/10/2007
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