Individual
DR. BILL LOUIS BOROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-5249
Mailing address
4199 NW 178TH PL, PORTLAND, OR 97229-7703
(503) 331-5249
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1975ATI
OR
Other
Enumeration date
11/03/2006
Last updated
02/10/2022
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