TIMOTHY ALLEN SPECK

FOREST GROVE, OR
NPI1093067324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OR  3631ATI)
Enumeration Date2012-10-10
Last Update Date2015-10-08
Business Address
-- TIMOTHY ALLEN SPECK O.D.
2144 HAWTHORNE ST APT 56
FOREST GROVE, OR 97116-1749
Phone number: 217-416-9452
Mailing Address
-- TIMOTHY ALLEN SPECK O.D.
1406 NE 69TH AVE
PORTLAND, OR 97213-5302
Phone number:
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