Individual
DR. STEVEN J CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2609 SE CLINTON ST, PORTLAND, OR 97202-1240
(503) 238-1139
(503) 235-6574
Mailing address
2104 NE 59TH AVE, PORTLAND, OR 97213-4122
(503) 238-1139
(503) 235-6574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
23408T
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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