Organization
MORELAND FAMILY EYE CARE PC
Active
Other names
Moreland Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DARYN W. DERSTINE O.D. (PRESIDENT)
(503) 236-6008
Entity
Organization
Contact information
Practice address
6539 SE MILWAUKIE AVE, PORTLAND, OR 97202-5519
(503) 236-6008
(503) 236-2057
Mailing address
6539 SE MILWAUKIE AVE, PORTLAND, OR 97202-5519
(503) 236-6008
(503) 236-2057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1735ATI
OR
Other
Enumeration date
03/02/2018
Last updated
02/16/2026
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