Organization
CHARLES ALBERT MCBRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A MCBRIDE OD (OWNER)
(503) 644-3614
Entity
Organization
Contact information
Practice address
12370 SW 1ST ST, BEAVERTON, OR 97005
(503) 644-3614
(503) 646-4069
Mailing address
12370 SW 1ST ST, BEAVERTON, OR 97005-2847
(503) 644-3614
(503) 646-4069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2542ATI
OR
Other
Enumeration date
03/01/2018
Last updated
04/21/2026
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