| NPI | 1760894356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALICIA NICOLE CZUPRYK Optometrist/Manager 503-701-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3445ATI) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-07-10 |