Organization
WELLER INC
Active
Other names
Crown Optical & Safety
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W WELLER (OWNER OPTICIAN)
(503) 232-5006
Entity
Organization
Contact information
Practice address
2933 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 232-5006
(503) 239-3977
Mailing address
2933 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 232-5006
(503) 239-3977
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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