Organization
MT. HOOD VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
O. KEENE CLAY O.D. (PRESIDENT)
(503) 667-0441
Entity
Organization
Contact information
Practice address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 667-0441
(503) 666-6718
Mailing address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 667-0441
(503) 666-6718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR1223T
OR
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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