| NPI | 1932566320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CLARK Optometrist 503-618-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 2307-AT) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-03-11 |