# EYE HEALTH NORTHWEST P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYE HEALTH NORTHWEST P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437483096
- **Legal business name:** EYE HEALTH NORTHWEST P.C.
- **Authorized official:** BRETT M WILLIAMS (CEO)
- **Authorized official phone:** (503) 344-5101

## Contact information

- **Practice address:** 12817 SE 93RD AVE, CLACKAMAS, OR 97015-5735
- **Practice address phone:** (503) 783-3300
- **Practice address fax:** (503) 783-3319
- **Mailing address:** PO BOX 22009, PORTLAND, OR 97269-2009
- **Mailing address phone:** (503) 558-7372
- **Mailing address fax:** (503) 344-5140

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 01/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 085006 | — | OR |
