| NPI | 1366544041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D FORBES Owner / President 503-652-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3003AIT) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |