| NPI | 1295550705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MCDONALD Owner 503-474-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |