| NPI | 1083219752 |
|---|---|
| Doing Business As | NORTHWEST VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIC BERGSTROM Owner 206-282-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |