Individual
MRS. SHERI LYNN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC,COA,RA
Contact information
Practice address
5574 SE ASH ST, PORTLAND, OR 97215-1247
(503) 260-8591
(503) 236-5049
Mailing address
5574 SE ASH ST, PORTLAND, OR 97215-1247
(503) 260-8591
(503) 236-5049
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
96750
OR
156FX1800X
Optician
Primary
22027
OR
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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