Lumaco, Darell R

Lumaco, Darell R is an individual health care provider with primary practice located at 512 E Main St , Hillsboro OR 97123-4137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lumaco, Darell R can be contacted via phone (503) 640-3708.

Contact Information

Primary practice address
512 E Main St Hillsboro OR 97123-4137
Phone: (503) 640-3708
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD3909 Alaska
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD11350 Oregon

Profile Details

NPI number 1770587362
LBN Legal business name Lumaco, Darell R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Oct 13th, 2022 - about 2 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 1770587362 NPPES
Oregon MEDICAID 281555
Oregon MEDICAID MD3909

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