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Mr. Grady Venson Rapier III, LDO
Optician in Portland, Oregon
NPI 1295816361

Grady Venson Rapier III is a Optician based in Portland, OR and is specialized in Optician. Grady Venson Rapier III practices in Portland, OR and has the professional credentials of LDO. The NPI Number for Grady Venson Rapier III is 1295816361 and holds a License No. DO00000782 (Oregon).

The current practice location address for Grady Venson Rapier III is 3600 N Interstate Ave, Portland, OR and can be reached out via phone at 503-249-3429. You can also correspond with Grady Venson Rapier III through the mailing address at PO BOX 219201, PORTLAND, OR - 97225-9201 (mailing address contact number: 503-249-3429).

Location: 3600 N Interstate Ave, Portland, OR, 97225-9201
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Provider Profile Details
NPI Number
1295816361
Provider Name
Grady Venson Rapier III
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
3600 N Interstate Ave, Portland, OR, 97225-9201
Phone Number
503-249-3429
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3600 N Interstate Ave
City
State
Zip
97227-1106
Phone Number
503-249-3429
Fax Number
person
Provider Business Mailing Address Details
Address
3600 N Interstate Ave
City
State
Zip
97227-1106
Phone Number
503-249-3429
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO00000782 (Washington)
Definition
Definition to come...
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