Organization
PORTLAND EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TRAN O.D. (OFFICE MANAGER)
(503) 705-3222
Entity
Organization
Contact information
Practice address
8001 SE POWELL BLVD STE L, PORTLAND, OR 97206-2300
(503) 775-3110
(888) 803-2845
Mailing address
8001 SE POWELL BLVD STE L, PORTLAND, OR 97206-2300
(503) 775-3110
(888) 803-2845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3306 ATI
OR
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
07/28/2014
Last updated
11/29/2022
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