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Individual

DR. HENRY FRANK STOREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
515 N 3RD AVE, STAYTON, OR 97383-1729
(503) 769-3441
(503) 769-1419
Mailing address
515 N 3RD AVE, STAYTON, OR 97383-1729
(503) 769-3441
(503) 769-1419

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1174ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181982
OR
Enumeration date
11/06/2006
Last updated
06/17/2008
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