NPI | 1184387532 |
---|---|
Doing Business As | MULTNOMAH VISION CLINIC |
Entity Type | Organization |
Authorized Contact | AYLA JADE HIMMELSBACH Optometrist 503-863-0657 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-10-21 |
Last Update Date | 2021-11-04 |