| NPI | 1235458274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA P TSAI President/Optometrist 503-219-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2946AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3293AT) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |