Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific University EyeClinic Beaverton
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LANGSTRAAT (VP FINANCE & ADMINISTRATION)
(503) 352-1621
Entity
Organization
Contact information
Practice address
12600 SW CRESCENT ST, 130, BEAVERTON, OR 97005-1693
(503) 352-2020
(971) 266-2963
Mailing address
12600 SW CRESCENT ST, 130, BEAVERTON, OR 97005-1693
(503) 352-2020
(503) 352-2261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
10/26/2021
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