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Organization

PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDICE AUMAN (CREDENTIALING SPECIALIST)
(360) 242-3265
Entity
Organization

Contact information

Practice address
19801 SW 72ND AVE, SUITE 150, TUALATIN, OR 97062-8347
(503) 691-2283
(360) 503-6915
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
071528
OR
261QS0132X
Ophthalmologic Surgery Clinic/Center
071528
OR

Other

Enumeration date
05/13/2008
Last updated
07/18/2022
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