| NPI | 1689782393 |
|---|---|
| Other Name | PACIFIC UNIVERSITY EYECLINIC FOREST GROVE |
| Entity Type | Organization |
| Authorized Contact | LISA DOWNING Compliance Officer 503-352-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: OR 163863) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-11-14 |