DR. LAWRENCE CHAN JR., OD
Optometry at 122 Ave, Portland, OR

License number
Oregon 793
Category
Optometry
Type
Optometrist
Address
Address
2524 SE 122Nd Ave, Portland, OR 97236
Phone
(503) 761-2121
(503) 761-2122 (Fax)
National Provider ID: 1760473854
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. LAWRENCE CHAN, JR., O.D., PC

2524 SE 122, Portland, OR 97236

Registration:
Jul 11, 1980
State ID:
14577811
Business type:
Domestic Professional Corporation
Agent:
Lawrence Chan,2524 SE 122 Ave, Portland, OR 97236 (Physical)

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