# OREGON RETINA, LLP

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

## Provider details

- **NPI number:** 1962824060
- **Authorized official:** ALBERT EDWARDS MD, PHD (PHYSICIAN/OWNER)
- **Authorized official phone:** (541) 762-2763

## Contact information

- **Practice address:** 855 W CENTRAL BLVD, COQUILLE, OR 97423-1095
- **Practice address phone:** (541) 762-2763
- **Mailing address:** 1550 OAK ST, SUITE 4, EUGENE, OR 97401-7701
- **Mailing address phone:** (541) 762-2763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD20042 | OR | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 01/09/2014