| NPI | 1639243652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY BENJAMIN LEE Partner 503-357-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-04-15 |