| NPI | 1164622288 |
|---|---|
| Doing Business As | ABC VISIONSOURCE SHERWOOD |
| Entity Type | Organization |
| Authorized Contact | MARI WARD President 503-625-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3023ATI) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-01-10 |