NPI | 1508037607 |
---|---|
Doing Business As | HAPPY VALLEY VISION SOURCE |
Entity Type | Organization |
Authorized Contact | WILLIAM B BERK Owner 503-698-2375 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1749ATI) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2018-08-14 |