| NPI | 1225125503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA RENEE SCHISSLER Optometric Physician 503-666-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 3141AT) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-02-05 |