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1295915700
BROADWAY VISION WORLD
PORTLAND, OR
NPI
1295915700
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Entity Type
Organization
Authorized Contact
KAMELIA MASSIH
CEO
503-223-6655
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 1863T)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
BROADWAY VISION WORLD
1962 SW BROADWAY
PORTLAND, OR 97201-6710
Phone number: 503-223-6655
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Mailing Address
BROADWAY VISION WORLD
PO BOX 108
BEAVERTON, OR 97075-0108
Phone number: 503-223-6655
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