Organization
EYE HEALTH NORTHWEST, P.C.
Active
Parent organization
EYE HEALTH NORTHWEST, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE HEALTH NORTHWEST, P.C.
Authorized official
CARRIE HASS (DIRECTOR OF REVENUE CYCLE)
(503) 558-7359
Entity
Organization
Contact information
Practice address
29250 TOWN CENTER LOOP W, WILSONVILLE, OR 97070
(503) 344-5102
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
WE CANNOT OBTAIN PROVIDER NUMBERS WITHOUT AN NPI
—
Enumeration date
02/21/2019
Last updated
02/20/2021
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