Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific EyeClinic Hillsboro
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOWNING (COMPLIANCE OFFICER)
(503) 352-2663
Entity
Organization
Contact information
Practice address
222 SE 8TH AVE STE 114, HILLSBORO, OR 97123-4218
(503) 352-7300
(971) 266-2961
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-7300
(971) 266-2961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
163863
OR
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278316
—
OR
Enumeration date
08/25/2006
Last updated
03/14/2024
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