Labrum, Alan
Labrum, Alan is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Low Vision Rehabilitation is his primary health care specialty. Labrum, Alan can be contacted via phone (503) 494-3098.Contact Information
Primary practice address
3303 Sw Bond Ave
Portland OR 97239
Phone: (503) 494-3098
Fax: (503) 418-0843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010709 | Illinois |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 004352AT | Oregon |
Profile Details
| NPI number | 1043652431 |
|---|---|
| LBN Legal business name | Labrum, Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2013 |
| Last updated | Jul 25th, 2018 - about 7 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 | 1043652431 | NPPES |
| Illinois | MEDICAID | 046010709 |
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