Individual
DR. ROBERT ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9710 SE WASHINGTON ST STE D, PORTLAND, OR 97216-8407
(503) 257-7770
Mailing address
1420 NW LOVEJOY ST, #717, PORTLAND, OR 97209-2734
(503) 319-8700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1760T
OR
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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