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Contact Information

LARA C ATWATER, MD
3181 SW SAM JACKSON PARK RD # OP31
PORTLAND, OR97239-3011
 Phone: 808-391-4667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LARA C ATWATER · (Female)

NPI Number 1366718116
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2012
Last updated 11/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0085556
  • OR License # MD192938
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
  • TUALITY COMMUNITY HOSPITAL - (Acute Care)
    335 SE 8TH AVENUE
    HILLSBORO, OR 97123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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