Individual
AMY LANZENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2043 COLLEGE WAY BLDG 2221, FOREST GROVE, OR 97116-1797
(503) 352-2020
(971) 266-2958
Mailing address
2043 COLLEGE WAY # A-134, FOREST GROVE, OR 97116-1797
(503) 352-2020
(971) 266-2958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4784AT
OR
Other
Enumeration date
03/25/2025
Last updated
06/27/2025
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