FOREST GROVE MEDICAL PC

FOREST GROVE, OR
NPI1154691830
Entity TypeOrganization
Authorized ContactBRAD C RICHARDSON
President
503-357-2020
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2012-01-11
Last Update Date2012-01-11
Business Address
FOREST GROVE MEDICAL PC
2804 19TH AVE
FOREST GROVE, OR 97116-2625
Phone number: 503-357-2020
Mailing Address
FOREST GROVE MEDICAL PC
PO BOX 38
FOREST GROVE, OR 97116-0038
Phone number: 503-357-2020