Organization
ASTERIX EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TAYLOR (MEMBER)
(503) 771-6654
Entity
Organization
Contact information
Practice address
4936 SE FOSTER RD, PORTLAND, OR 97206-3037
(503) 771-6654
(503) 772-9220
Mailing address
4936 SE FOSTER RD, PORTLAND, OR 97206-3037
(503) 771-6654
(503) 772-9220
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
02/21/2023
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