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Organization
EYE HEALTH NORTHWEST OPTICAL, LLC
Active
Organization
EYE HEALTH NORTHWEST OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WELLS BENTLEY MD (PRESIDENT)
(503) 557-2020
Entity
Organization
Contact information
Practice address
15405 SW 116TH AVE, SUITE 204, PORTLAND, OR 97224-4101
(503) 620-4070
(503) 598-9661
Mailing address
PO BOX 22009, MILWAUKIE, OR 97269-2009
(503) 557-2020
(503) 344-5110
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/18/2005
Last updated
09/17/2008
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