Guerin, Larry Lee
Guerin, Larry Lee is an sole proprietor health care provider with primary practice located at 545 Ne 47Th Ave Suite 306, Portland OR 97213-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Guerin, Larry Lee can be contacted via phone (503) 230-0390.Contact Information
Primary practice address
545 Ne 47Th Ave Suite 306
Portland OR 97213-2238
Phone: (503) 230-0390
Fax: (503) 230-0682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OR14016 | Oregon |
Profile Details
| NPI number | 1316961287 |
|---|---|
| LBN Legal business name | Guerin, Larry Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316961287 | NPPES |
| Oregon | MEDICAID | 020698 |
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