Organization
PAUL STASIK OD PC
Active
Parent organization
PAUL STASIK OD PC
Other names
Barnes Professional Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL STASIK OD PC
Authorized official
DR. PAUL M. STASIK O.D. (PRESIDENT)
(503) 646-5194
Entity
Organization
Contact information
Practice address
11750 SW BARNES RD, SUITE 120, PORTLAND, OR 97225-5911
(503) 646-5194
(503) 646-9390
Mailing address
11750 SW BARNES RD, SUITE 120, PORTLAND, OR 97225-5911
(503) 646-5194
(503) 646-9390
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2936AT
OR
Other
Enumeration date
07/31/2006
Last updated
09/26/2012
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