Tualatin Eye Associates PC
Clinic/Center in Tualatin, OR. Organization (NPI-2).
NPI number1861746331
StatusActive
Last updated in NPPESFeb 4, 2013
Details
- NPI
- 1861746331
- Entity type
- Organization (NPI-2)
- Legal business name
- Tualatin Eye Associates PC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2012
- Last updated
- Feb 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 1813ATI | OR | Yes |
Practice location
18801 Sw Boones FerryTualatin, OR 97062
Phone 503-692-3500
Mailing address
18801 Sw Boones FerryTualatin, OR 97062
Authorized official
Craig E Bowen
Ceo
5036923500
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