# 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:** 1932433695
- **Legal business name:** EYE HEALTH NORTHWEST P.C.
- **Authorized official:** BRETT M WILLIAMS (CEO)
- **Authorized official phone:** (503) 344-5101

## Contact information

- **Practice address:** 9555 SW BARNES RD STE 100, PORTLAND, OR 97225-6668
- **Practice address phone:** (503) 227-2020
- **Practice address fax:** (503) 222-0614
- **Mailing address:** 11086 SE OAK ST, MILWAUKIE, OR 97222-6692
- **Mailing address phone:** (503) 557-2020
- **Mailing address fax:** (503) 344-5110

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 08/27/2024

## Other identifiers

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