# PORTLAND VISION LLC

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

## Provider details

- **NPI number:** 1245101393
- **Authorized official:** DR. SHAMIS FALLAH DO (MANAGING MEMBER)
- **Authorized official phone:** (510) 734-4567

## Contact information

- **Practice address:** 1916 NE BROADWAY ST, PORTLAND, OR 97232-1502
- **Practice address phone:** (503) 546-4193
- **Mailing address:** 1204 SE LEXINGTON ST, PORTLAND, OR 97202-6364
- **Mailing address phone:** (510) 734-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2025
- **Last updated:** 09/12/2025