NPI | 1962611699 |
---|---|
Doing Business As | KORTEN VISION CLINIC |
Entity Type | Organization |
Authorized Contact | PHILIP JOSEPH KORTEN Owner 503-654-0456 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR OR1236ATI) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |