Individual
KATELYN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
553 18TH ST, ASTORIA, OR 97103-3505
(503) 325-4401
(503) 325-4449
Mailing address
819 S HOLLADAY DR, SEASIDE, OR 97138-6608
(503) 325-4401
(503) 325-4449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4049AT
OR
152W00000X
Optometrist
60677583
WA
Other
Enumeration date
07/25/2016
Last updated
08/23/2016
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