Organization
EYEHEALTH NORTHWEST OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WELLS BENTLEY MD (PRESIDENT)
(503) 557-2020
Entity
Organization
Contact information
Practice address
3246 N LOMBARD ST, PORTLAND, OR 97217-1206
(503) 285-1671
(503) 285-7859
Mailing address
11086 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 557-2020
(503) 344-5110
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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