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Organization

MALONEY'S CUSTOM OCULAR PROSTHETICS, INC.

Active
Other names
Maloney's Ocular Prosthetics
Organization subpart
No

Provider details

NPI number
Authorized official
LEXI SCHOU (PRACTICE MANAGER)
(503) 675-1320
Entity
Organization

Contact information

Practice address
4500 KRUSE WAY STE 300, LAKE OSWEGO, OR 97035-2563
(503) 675-1320
Mailing address
4500 KRUSE WAY STE 300, LAKE OSWEGO, OR 97035-2563
(503) 675-1320

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
2002801
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125096
OR
Enumeration date
01/11/2007
Last updated
03/25/2026
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