GRESHAM VISION SOURCE PC

PORTLAND, OR
NPI1346323367
Entity TypeOrganization
Authorized ContactTUAN TU NGUYEN
Optometrist Owner
503-669-1992
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2987AT)
Enumeration Date2006-10-23
Last Update Date2018-03-02
Business Address
GRESHAM VISION SOURCE PC
929 NE 181ST AVE
PORTLAND, OR 97230-6757
Phone number: 503-669-1992
Mailing Address
GRESHAM VISION SOURCE PC
929 NE 181ST AVE
PORTLAND, OR 97230-6757
Phone number: 503-669-1992
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