| NPI | 1720416944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LADOUCEUR Optometrist/Owner 503-650-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3267ATI) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2014-05-22 |