# RETINA NORTHWEST P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104813781
- **Authorized official:** KAREN L MARSHALL COE (PRACTICE MANAGER)
- **Authorized official phone:** (503) 274-2121

## Contact information

- **Practice address:** 5440 SW WESTGATE DR STE 217, PORTLAND, OR 97221-2421
- **Practice address phone:** (503) 274-2121
- **Practice address fax:** (866) 843-7990
- **Mailing address:** 4225 NE ST JAMES RD, VANCOUVER, WA 98663-2148
- **Mailing address phone:** (503) 274-2121
- **Mailing address fax:** (866) 843-7990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 02670693 | OR | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 05/11/2023