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Organization
GLAUCOMA ASSOCIATES & CONSULTATION LLC
Active
Organization
GLAUCOMA ASSOCIATES & CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN L MANSBERGER MD MPH (OPTHALMOLOGIST)
(503) 413-6453
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210
(503) 413-8202
(503) 413-6937
Mailing address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210
(503) 413-8202
(503) 413-6937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD22167
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213408
—
OR
Enumeration date
07/22/2006
Last updated
03/31/2008
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