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1083805857
EYEHEALTH NORTHWEST OPTICAL, LLC
PORTLAND, OR
NPI
1083805857
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Entity Type
Organization
Authorized Contact
ROBERT WELLS BENTLEY
President
503-557-2020
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
EYEHEALTH NORTHWEST OPTICAL, LLC
3246 N LOMBARD ST
PORTLAND, OR 97217-1206
Phone number: 503-285-1671
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Mailing Address
EYEHEALTH NORTHWEST OPTICAL, LLC
11086 SE OAK ST
MILWAUKIE, OR 97222-6692
Phone number: 503-557-2020
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