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Organization

MT. HOOD VISION CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK GEORGE OD (PRESIDENT)
(503) 667-0441
Entity
Organization

Contact information

Practice address
22640 SE STARK ST, GRESHAM, OR 97030-2656
(503) 667-0441
(503) 666-6718
Mailing address
22640 SE STARK ST, GRESHAM, OR 97030-2656
(503) 667-0441
(503) 666-6718

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
12/27/2006
Last updated
01/25/2011
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