| NPI | 1669621207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PIEHL Owner 503-223-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA 163783) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |