Organization
BASELINE VISION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN PLOEM MILLER OD (OWNER OPTOMETRIST)
(503) 648-8328
Entity
Organization
Contact information
Practice address
527 SE BASELINE ST. STE B, HILLSBORO, OR 97123
(503) 648-8327
(503) 648-8378
Mailing address
527 SE BASELINE ST, STE B, HILLSBORO, OR 97123-4149
(503) 648-8328
(503) 648-8378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1445ATI
OR
Other
Enumeration date
05/03/2007
Last updated
05/04/2018
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