| NPI | 1679600977 |
|---|---|
| Doing Business As | EYES AT BETHANY VILLAGE |
| Entity Type | Organization |
| Authorized Contact | PAUL M. WEHNER President 503-645-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2742ATI) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |