NPI | 1104813781 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN L MARSHALL Practice Manager 503-274-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR 02670693) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2023-05-11 |