| NPI | 1376162008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MAE ARMSTRONG Od 503-762-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist Pediatrics |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WV0400X Optometrist Vision Therapy | |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-08-25 |