Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific University EyeClinic Cornelius
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOWNING (COMPLIANCE OFFICER)
(503) 352-2663
Entity
Organization
Contact information
Practice address
1151 N ADAIR ST STE 104, CORNELIUS, OR 97113-8900
(503) 352-8543
(971) 266-2960
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-8543
(971) 266-2960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274669
—
OR
Enumeration date
06/27/2007
Last updated
11/13/2023
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