# EYE HEALTH NORTHWEST P.C.

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

## Provider details

- **NPI number:** 1992397426
- **Authorized official:** BRETT M WILLIAMS (CEO)
- **Authorized official phone:** (503) 558-7372

## Contact information

- **Practice address:** 5935 SE DIVISION ST, PORTLAND, OR 97206-1470
- **Practice address phone:** (503) 777-5546
- **Mailing address:** PO BOX 22009, MILWAUKIE, OR 97269-2009
- **Mailing address phone:** (503) 558-7372
- **Mailing address fax:** (503) 344-5140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2021
- **Last updated:** 12/21/2021