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Individual

DR. RANDALL K COREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1517 SW MARLOW AVE, PORTLAND, OR 97225-5101
(503) 292-5221
(503) 297-3937
Mailing address
1517 SW MARLOW AVE, PORTLAND, OR 97225-5101
(503) 292-5221
(503) 297-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035T
OR

Other

Enumeration date
06/10/2006
Last updated
11/21/2007
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