Organization
HENRY FRANK STOREY OD
Active
Other names
Santiam Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY FRANK STOREY O.D. (OWNER)
(503) 769-3441
Entity
Organization
Contact information
Practice address
515 N 3RD AVE, STAYTON, OR 97383-1729
(503) 769-3441
(503) 769-1419
Mailing address
515 N 3RD AVE, STAYTON, OR 97383-1729
(503) 769-3441
(503) 769-1419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1174ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181982
—
OR
Enumeration date
12/18/2007
Last updated
05/20/2011
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