| NPI | 1598000903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA F VITIELLO President 503-645-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: OR 2040ATI) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-15 |