Organization
WILLAMETTE VISION CENTER INC
Active
Other names
Family Focus Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICKEY M VORPAHL (MANAGER SECRETARY)
(503) 585-6700
Entity
Organization
Contact information
Practice address
3400 STATE ST, #G-770, SALEM, OR 97301-5861
(503) 585-6700
(503) 585-3315
Mailing address
3400 STATE ST, #G-770, SALEM, OR 97301-5861
(503) 585-6700
(503) 585-3315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1666AT
OR
Other
Enumeration date
09/21/2005
Last updated
06/08/2011
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