Sheri Lynn Brooks, ABOC,COA,RA
Technician/Technologist, Optician in Portland, OR. Individual provider (NPI-1).
NPI number1265663173
StatusActive
Last updated in NPPESJul 28, 2009
Details
- NPI
- 1265663173
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sheri Lynn Brooks
- Credential
- ABOC,COA,RA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2009
- Last updated
- Jul 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 22027 | OR | Yes |
| 156FX1101X | Technician/Technologist, Ophthalmic Assistant | 96750 | OR |
Practice location
5574 Se Ash StPortland, OR 97215-1247
Phone 503-260-8591 · Fax 503-236-5049
Mailing address
5574 Se Ash StPortland, OR 97215-1247
Phone 503-260-8591 · Fax 503-236-5049
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All 30 Optician providers in Portland · All 48,847 providers in Portland
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