Individual
DR. BERNARD CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11805 NW CEDAR FALLS DR, STE 105, PORTLAND, OR 97229-2776
(503) 747-0265
(503) 530-8648
Mailing address
11805 NW CEDAR FALLS DR, STE 105, PORTLAND, OR 97229-2776
(503) 474-0265
(503) 530-8648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2182T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038120
—
OR
Enumeration date
08/04/2006
Last updated
10/24/2016
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