Organization
HILLSBORO EYE CLINIC, PC
Active
Parent organization
HILLSBORO EYE CLINIC, PC
Other names
Tanasbourne Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILLSBORO EYE CLINIC, PC
Authorized official
DR. TIMOTHY L GARD MD (PRESIDENT)
(503) 640-3708
Entity
Organization
Contact information
Practice address
18650 NW CORNELL RD, SUITE 112, HILLSBORO, OR 97124-9208
(503) 645-8808
(503) 693-0441
Mailing address
512 E MAIN ST, HILLSBORO, OR 97123-9208
(503) 640-3708
(503) 693-0441
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278569
—
OR
Enumeration date
10/03/2006
Last updated
06/16/2022
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