Organization
TERRY P TOBIN OD PC
Active
Other names
Cedar Mill Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY PATRICK TOBIN OD (PRESIDENT)
(503) 314-7478
Entity
Organization
Contact information
Practice address
660 NW MURRAY BLVD, PORTLAND, OR 97229-5872
(503) 646-6166
(503) 646-8113
Mailing address
660 NW MURRAY BLVD, PORTLAND, OR 97229-5872
(503) 646-6166
(503) 646-8113
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1567ATI
OR
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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