| NPI | 1659407625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORVAL L GILMORE Clinic Administrator 503-585-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OR 0581530001) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-12-20 |