Organization
PORTLAND VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMIS FALLAH DO (MANAGING MEMBER)
(510) 734-4567
Entity
Organization
Contact information
Practice address
1916 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 546-4193
Mailing address
1204 SE LEXINGTON ST, PORTLAND, OR 97202-6364
(510) 734-4567
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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