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1497257828
CHARLES ALBERT MCBRIDE
BEAVERTON, OR
NPI
1497257828
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Entity Type
Organization
Authorized Contact
CHARLES A MCBRIDE
Owner
503-644-3614
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2542ATI)
Enumeration Date
2018-03-01
Last Update Date
2018-08-29
Business Address
CHARLES ALBERT MCBRIDE
12370 SW 1ST ST
BEAVERTON, OR 97005
Phone number: 503-644-3614
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Mailing Address
CHARLES ALBERT MCBRIDE
12370 SW 1ST ST
BEAVERTON, OR 97005-2847
Phone number: 503-644-3614
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