Provider Demographics
NPI:1336697143
Name:LAWLER, RITA (DVM)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:LAWLER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8353 SE CLATSOP CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-6159
Mailing Address - Country:US
Mailing Address - Phone:505-604-3810
Mailing Address - Fax:
Practice Address - Street 1:8353 SE CLATSOP CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-6159
Practice Address - Country:US
Practice Address - Phone:505-604-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7021208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice