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Organization

MEGANEKO LLC

Active
Other names
Multnomah Vision Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
AYLA JADE HIMMELSBACH OD (OPTOMETRIST)
(503) 863-0657
Entity
Organization

Contact information

Practice address
7826 SW CAPITOL HWY, PORTLAND, OR 97219-2466
(503) 863-0657
Mailing address
7826 SW CAPITOL HWY, PORTLAND, OR 97219-2466
(503) 244-7788

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/21/2021
Last updated
11/04/2021
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