| NPI | 1053439588 |
|---|---|
| Doing Business As | TIGARD OPTOMETRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIC S FREEDLE Business Partner 503-693-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-11-05 |