Gresham Vision Center, Inc

NPI 1447280490 - Optometrist - 152W00000X

NPI Details
NPI 1447280490
Enumeration Date 07/04/2006
Last Updated 03/19/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIANE DIANE
Position OFFICE MANAGER
Phone (503) 668-4313
Fax (503) 668-5963
Practice Location
39400 PIONEER BLVD STE 3
SANDY OR, 97055-8000, US
Phone (503) 668-4313
Fax (503) 668-5963
Business Location
39400 PIONEER BLVD STE 3
SANDY OR, 97055-8000, US
Phone (503) 668-4313
Fax (503) 668-5963
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 1627ATI
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According to our database, Gresham Vision Center, Inc NPI is 1447280490, taxonomy code is 152W00000X and license number is 1627ATI, license state is located at Oregon. Gresham Vision Center, Inc physically located at 39400 Pioneer Blvd Ste 3, Sandy OR, 97055-8000. NPI Number 1033115704 has the healthcare provider type.

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1447280490 NPI number is provided on an as is basis without warranty of any kind. 1447280490 is maintained by the National Plan & Provider Enumeration System. The contents of Gresham Vision Center, Inc are for informational purposes only.