Organization
RETINA NORTHWEST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L MARSHALL COE (PRACTICE MANAGER)
(503) 274-2121
Entity
Organization
Contact information
Practice address
5440 SW WESTGATE DR STE 217, PORTLAND, OR 97221-2421
(503) 274-2121
(866) 843-7990
Mailing address
4225 NE ST JAMES RD, VANCOUVER, WA 98663-2148
(503) 274-2121
(866) 843-7990
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02670693
OR
Other
Enumeration date
09/29/2005
Last updated
05/11/2023
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