| NPI | 1275628869 |
|---|---|
| Other Name | TANASBOURNE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L GARD President 503-640-3708 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-06-16 |