Garrett, Rachael Lynn

Garrett, Rachael Lynn is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Garrett, Rachael Lynn can be contacted via phone (503) 494-7672.

Contact Information

Primary practice address
3303 Sw Bond Ave Portland OR 97239-4501
Fax: (503) 418-0049
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2713ATI Oregon

Profile Details

NPI number 1225080559
LBN Legal business name Garrett, Rachael Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 1st, 2011 - about 13 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 1225080559 NPPES
Other P00845504 RAILROAD MEDICARE
MEDICAID 294170 RAILROAD MEDICARE

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