NPI | 1124319009 |
---|---|
Other Name | PACIFIC UNIVERSITY EYECLINIC BEAVERTON |
Entity Type | Organization |
Authorized Contact | JAMES LANGSTRAAT VP Finance & Administration 503-352-1621 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2011-04-26 |
Last Update Date | 2021-10-26 |