EYEDENTITY VISION CENTER P.C.

PORTLAND, OR
NPI1003930132
Doing Business AsSTEVEN J. CLOUSE, OD
Entity TypeOrganization
Authorized ContactSTEVEN J CLOUSE
President
503-238-1139
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2408T)
Enumeration Date2007-03-16
Last Update Date2009-10-16
Business Address
EYEDENTITY VISION CENTER P.C.
2609 SE CLINTON ST
PORTLAND, OR 97202-1240
Phone number: 503-238-1139
Mailing Address
EYEDENTITY VISION CENTER P.C.
2609 SE CLINTON ST
PORTLAND, OR 97202-1240
Phone number: 503-238-1139