| NPI | 1871064154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYONS Owner 503-908-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2023-12-11 |