Mr. Grady Venson Rapier III, LDO
Mr. Grady Venson Rapier III, LDO is an Optician in Portland, Oregon. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
3600 N Interstate AvePortland, OR 97227-1106
Phone: (503) 249-3429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence DO00000782 (WA) |
|---|
Record details
| NPI number | 1295816361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | October 17, 2006 |
| Last updated in NPPES | July 8, 2007 |
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