Organization
SOUTH WATERFRONT EYE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILA IOUSSIFOVA OD, CNS, FAAO (PRESIDENT)
(971) 229-0820
Entity
Organization
Contact information
Practice address
3615 SW RIVER PKWY, PORTLAND, OR 97239-4552
(971) 229-0820
(971) 229-0821
Mailing address
3615 SW RIVER PKWY, PORTLAND, OR 97239-4552
(971) 229-0820
(971) 229-0821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
10/22/2024
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