LYLE HENRY REGIMBALD

PORTLAND, OR
NPI1548372717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2884T)
Additional Taxonomies152W00000X Optometrist
(Licence: WA  4041)
Enumeration Date2006-08-31
Last Update Date2022-02-11
Business Address
-- LYLE HENRY REGIMBALD O.D.
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE CENTRAL 3600 N INTERSTATE AVE
PORTLAND, OR 97227-1116
Phone number: 503-331-6330
Mailing Address
-- LYLE HENRY REGIMBALD O.D.
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE CENTRAL 3600 N INTERSTATE AVE
PORTLAND, OR 97227-1116
Phone number:
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