| NPI | 1972835882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THORSLAND Od/Owner 503-372-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: OR 00004340) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |