| NPI | 1184812570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZUZANA B. FRIBERG Owner, President 503-228-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3244AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 1630ATI) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2010-02-19 |