Individual
DR. GARY JOHN SCHULZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1265 JANTZEN BEACH CTR, PORTLAND, OR 97217-7852
(503) 289-7331
(503) 289-0854
Mailing address
13638 SW BENCHVIEW PL, TIGARD, OR 97223-1734
(503) 590-2408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1727T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078928
OMAP NUMBER
OR
Enumeration date
03/07/2007
Last updated
07/08/2007
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