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NPI Code Detail

MEDICARE: DR. LYNN J STRAND D.M.D.

MEDICARE:  DR. LYNN J STRAND  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodonticsD6304OR

General Provider Information

NPI Number : 1255339669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNN J STRAND D.M.D.
Provider Business Mailing Address
First Line : 320 A AVE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-3056
Country : US
Telephone Number : 503-636-3383
Fax Number : 503-635-8632
Provider Business Practice Location Address
First Line : 320 A AVE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-3056
Country : US
Telephone Number : 503-636-3383
Fax Number : 503-635-8632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2005
Last Update Date : 09/07/2011

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