Individual
LAWRENCE MATSUO OKUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L457, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Mailing address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2200
(661) 326-2950
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
03/30/2022
Last updated
05/29/2025
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