# 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:** 1790445724
- **Legal business name:** EYE HEALTH NORTHWEST P.C.
- **Authorized official:** BRETT M WILLIAMS (CEO)
- **Authorized official phone:** (503) 344-5101

## Contact information

- **Practice address:** 9 MONROE PKWY STE 160, LAKE OSWEGO, OR 97035-8863
- **Practice address phone:** (503) 699-7832
- **Practice address fax:** (503) 699-8772
- **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:** 12/17/2021
- **Last updated:** 12/17/2021