Organization
COLUMBIA FAMILY VISION CARE LLC
Active
Other names
GW Curnutt & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKS RODMAN OD (OWNER)
(503) 397-4911
Entity
Organization
Contact information
Practice address
2020 COLUMBIA BLVD, ST HELENS, OR 97051-1737
(541) 760-3448
(503) 397-3986
Mailing address
2020 COLUMBIA BLVD, ST HELENS, OR 97051-1737
(541) 760-3448
(503) 397-3986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3367ATI
OR
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636929
—
OR
Enumeration date
06/11/2011
Last updated
10/14/2020
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