Eyedentity Vision Center P.c.
Optometrist · Portland, OR
At a glance
2609 Se Clinton St, Portland, OR 97202-1240
NPPES record updated Oct 16, 2009. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2609 Se Clinton StPortland, OR 97202-1240
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Optometrist
- Taxonomy code
- 152W00000X
- Enumeration date
- Mar 16, 2007
- Record updated
- Oct 16, 2009
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Optometrist
152W00000X · Primary
License reported: 2408T OR
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2609 Se Clinton StPortland, OR 97202-1240
- Phone
- (503) 238-1139
- Fax
- (503) 235-6574
Mailing address
2609 SE CLINTON STPORTLAND, OR 972021240
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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