| NPI | 1659237642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH LINH HOANG Medical Director 503-255-1432 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2026-01-02 |
| Last Update Date | 2026-01-05 |