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Organization

ABC OPTOMETRIC PC

Active
Other names
ABC Vison Source Aloha
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HESTER (SEC./TREAS.)
(503) 473-8039
Entity
Organization

Contact information

Practice address
2991 SE 75TH AVE, HILLSBORO, OR 97123-6210
(503) 649-7566
(503) 649-0123
Mailing address
2991 SE 75TH AVE, HILLSBORO, OR 97123-6210
(503) 649-7566
(503) 649-0123

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2784ATI
OR
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226366
OR
Enumeration date
07/25/2007
Last updated
11/05/2020
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