| NPI | 1104239805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCKENZIE Optometrist 503-560-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OR 3488ATI) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |