DARRELL R LOCKWOOD

GRESHAM, OR
NPI1255319497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD08631)
Enumeration Date2006-01-06
Last Update Date2007-12-19
Business Address
-- DARRELL R LOCKWOOD MD
24900 SE STARK ST STE 109, GRESHAM INTERNAL MEDICINE CLINIC
GRESHAM, OR 97030
Phone number: 503-667-1015
Mailing Address
-- DARRELL R LOCKWOOD MD
PO BOX 23200
PORTLAND, OR 97281-3200
Phone number: 503-667-1015