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Organization

EYE FOCUS NORTHWEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK J FAST O.D. (OWNER)
(503) 588-5513
Entity
Organization

Contact information

Practice address
3816 CENTER ST NE, SALEM, OR 97301-2905
(503) 588-5513
(503) 588-5470
Mailing address
3816 CENTER ST NE, SALEM, OR 97301-2905
(503) 588-5513
(503) 588-5470

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR2986ATI
OR

Other

Enumeration date
05/10/2011
Last updated
10/13/2016
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