| NPI | 1205924206 |
|---|---|
| Doing Business As | TROUTDALE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL GURTISEN Corporate President 503-492-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2320T) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-02-28 |