# WILLOW CREEK EYE CARE INC.

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

## Provider details

- **NPI number:** 1598000903
- **Authorized official:** DR. PAOLA F VITIELLO O.D (PRESIDENT)
- **Authorized official phone:** (503) 645-8002

## Contact information

- **Practice address:** 14740 NW CORNELL RD STE 110, PORTLAND, OR 97229-5400
- **Practice address phone:** (503) 645-8002
- **Mailing address:** 14740 NW CORNELL RD STE 110, PORTLAND, OR 97229-5400
- **Mailing address phone:** (503) 645-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 2040ATI | OR | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/15/2012