Organization
DARYN W DERSTINE OD PC
Active
Other names
Master Eye Associates, SE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYN W DERSTINE O.D. (PRESIDENT)
(503) 654-6217
Entity
Organization
Contact information
Practice address
12000 SE 82ND AVE, 1008, PORTLAND, OR 97266-7721
(503) 654-6217
(503) 654-9335
Mailing address
12000 SE 82ND AVE, 1008, PORTLAND, OR 97086
(503) 654-6217
(503) 654-9335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2773ATI
OR
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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