Organization
THE SPECTOR GROUP, INC.
Active
Other names
Troutdale Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL GURTISEN OD (CORPORATE PRESIDENT)
(503) 492-3897
Entity
Organization
Contact information
Practice address
226 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-2069
(503) 492-3897
(503) 665-4137
Mailing address
226 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-2069
(503) 492-3897
(503) 665-4137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2320T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031497
—
OR
05
—
2019628
—
WA
Enumeration date
10/11/2006
Last updated
02/28/2014
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