IndividualActive
Larry Robertson, O.D.
NPI 1013022664 · Optometrist · Portland, OR
Larry Robertson, O.D. is a Optometrist provider in Portland, OR (NPI 1013022664).
Provider details
- NPI number
- 1013022664
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1362ATI (OR)
Practice location
12100 Se Stevens Ct Ste 106
Portland, OR 97266-8707
Phone: (503) 653-1442
Street-level locationGet directions
Mailing address
20279 Danny Ct
Oregon City, OR 97045-8618
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.