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Individual

DR. BLAIR BURTON LONSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, OD, MED.

Contact information

Practice address
511 SW 10TH AVE, SUITE 500, PORTLAND, OR 97205-2732
(503) 352-2500
Mailing address
1915 NW WALMER DR, PORTLAND, OR 97229-4252
(503) 292-5348

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3149ATI
OR

Other

Enumeration date
06/09/2006
Last updated
07/09/2007
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