| NPI | 1386292852 |
|---|---|
| Other Name | PACIFIC UNIVERSITY MOBILE EYEVAN |
| Entity Type | Organization |
| Authorized Contact | LISA DOWNING Compliance Officer 503-352-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-11-14 |