Individual
MS. LISA L ROMARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16545 NW SOMERSET DR, BEAVERTON, OR 97006-5277
(503) 709-4446
Mailing address
16545 NW SOMERSET DR, BEAVERTON, OR 97006-5277
(503) 709-4446
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LMT 7833
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7833
LMT
OR
Enumeration date
03/30/2007
Last updated
07/08/2007
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