Individual
WAYNE L GERIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10225 SW HALL BLVD, SUITE101, TIGARD, OR 97223-8855
(503) 244-1004
(503) 244-1006
Mailing address
10225 SW HALL BLVD, SUITE 101, TIGARD, OR 97223-8855
(503) 244-1004
(503) 244-1006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1478AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283135
—
OR
Enumeration date
03/21/2006
Last updated
11/07/2008
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