| NPI | 1801969720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. EGGER Owner 503-655-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: OR 1340ATI) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-02-21 |