| 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 |