Garrett, Lara

Garrett, Lara is an individual health care provider with primary practice located at 5100 Sw Macadam Ave Suite 200, Portland OR 97239-6102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Garrett, Lara can be contacted via phone (971) 202-5500.

Contact Information

Primary practice address
5100 Sw Macadam Ave Suite 200 Portland OR 97239-6102
Phone: (971) 202-5500
Fax: (971) 202-5555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD24344 Oregon

Profile Details

NPI number 1245278126
LBN Legal business name Garrett, Lara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245278126 NPPES
Oregon MEDICAID 234897

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