| NPI | 1578704573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY F DETMER STONE President/CEO 503-646-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2568ATI) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2015-01-22 |