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Individual

ELIZABETH ANNA POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116
(219) 707-1759
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(219) 707-1759

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4302ATI
OR
152WV0400X
Vision Therapy Optometrist
4302ATI
OR

Other

Enumeration date
03/31/2016
Last updated
07/23/2018
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