Theresa A Mcadoo, Od, Pc

NPI 1255619979 - Optometrist - 152W00000X

NPI Details
NPI 1255619979
Enumeration Date 07/29/2011
Last Updated 07/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name THERESA ANN THERESA
Position PRESIDENT
Phone (503) 639-8632
Fax (503) 530-2008
Practice Location
7855 SW DARTMOUTH STREET
TIGARD OR, 97223-8401, US
Phone (503) 639-8632
Fax (503) 530-2008
Business Location
7855 SW DARTMOUTH STREET
TIGARD OR, 97223-8401, US
Phone (503) 639-8632
Fax (503) 530-2008
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 2245-ATI
Remove 1255619979 NPI Number
 

According to our database, Theresa A Mcadoo, Od, Pc NPI is 1255619979, taxonomy code is 152W00000X and license number is 2245-ATI, license state is located at Oregon. Theresa A Mcadoo, Od, Pc physically located at 7855 Sw Dartmouth Street, Tigard OR, 97223-8401. NPI Number 1033115704 has the healthcare provider type.

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1255619979 NPI number is provided on an as is basis without warranty of any kind. 1255619979 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa A Mcadoo, Od, Pc are for informational purposes only.