Organization
OPTI CON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PANICHELLO (ADMINISTRATOR)
(503) 256-5422
Entity
Organization
Contact information
Practice address
725 NE 102ND AVE, SUITE C, PORTLAND, OR 97220-4065
(503) 256-5422
(800) 756-3451
Mailing address
725 NE 102ND AVE, SUITE B, PORTLAND, OR 97220-4065
(503) 256-5422
(800) 756-3451
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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