# PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.

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

## Provider details

- **NPI number:** 1265609945
- **Authorized official:** CANDICE AUMAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (360) 242-3265

## Contact information

- **Practice address:** 19801 SW 72ND AVE, SUITE 150, TUALATIN, OR 97062-8347
- **Practice address phone:** (503) 691-2283
- **Practice address fax:** (360) 503-6915
- **Mailing address:** PO BOX 1506, CHEHALIS, WA 98532-0409
- **Mailing address phone:** (360) 242-3008
- **Mailing address fax:** (360) 807-7687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071528 | OR | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | 071528 | OR | — |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 07/18/2022