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
15963 SE HAPPY VALLEY TOWN CENTER DR, HAPPY VALLEY, OR 97086-4253
(503) 344-5102
(503) 344-5110
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
09/24/2008
Last updated
09/24/2008
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