Organization
NEURO-OPHTHALMIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM THOMAS SHULTS M.D. (MEMBER-OWNER)
(503) 413-8032
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
(503) 413-8015
(503) 413-6937
Mailing address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
(503) 413-8015
(503) 413-6937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD07886
OR
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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