| NPI | 1750506937 |
|---|---|
| Doing Business As | LAKE OSWEGO VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | TODD SHELDON Authorized Official 503-635-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1115355-6) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2024-09-16 |