Willow Creek Eye Care Inc.

NPI 1598000903 - Optometrist - 152WC0802X

NPI Details
NPI 1598000903
Enumeration Date 12/11/2012
Last Updated 12/15/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PAOLA F PAOLA
Position PRESIDENT
Phone (503) 645-8002
Fax
Practice Location
14740 NW CORNELL RD STE 110
PORTLAND OR, 97229-5400, US
Phone (503) 645-8002
Fax
Business Location
14740 NW CORNELL RD STE 110
PORTLAND OR, 97229-5400, US
Phone (503) 645-8002
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State Oregon
License Number 2040ATI
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According to our database, Willow Creek Eye Care Inc. NPI is 1598000903, taxonomy code is 152WC0802X and license number is 2040ATI, license state is located at Oregon. Willow Creek Eye Care Inc. physically located at 14740 Nw Cornell Rd Ste 110, Portland OR, 97229-5400. NPI Number 1033115704 has the healthcare provider type.

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1598000903 NPI number is provided on an as is basis without warranty of any kind. 1598000903 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Creek Eye Care Inc. are for informational purposes only.