Individual
DAVID J MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8566 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 297-4183
(503) 297-3494
Mailing address
8566 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 297-4183
(503) 297-3494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1781ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824219000
BLUE CROSS BLUE SHIELD
OR
Enumeration date
08/30/2006
Last updated
11/16/2011
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