Organization
PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE AUMAN (CREDENTIALING SPECIALIST)
(360) 242-3008
Entity
Organization
Contact information
Practice address
1331 NW LOVEJOY STREET, SUITE 750, PORTLAND, OR 97209
(503) 535-2883
(503) 535-2890
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059837
—
OR
Enumeration date
03/12/2009
Last updated
07/18/2022
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