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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245278126 | NPPES |
Oregon | MEDICAID | 234897 |
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