Organization
ECHO VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER S SCHORK RCVT RDCS AE PE (PRESIDENT)
(503) 402-1660
Entity
Organization
Contact information
Practice address
2801 N GANTENBEIN AVE, EMANUEL HOSPITAL, PORTLAND, OR 97227
(503) 402-1660
(503) 402-1681
Mailing address
PO BOX 821350, VANCOUVER, WA 98682
(503) 283-5220
(503) 283-9527
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029071
—
OR
05
—
7119266
—
WA
Enumeration date
11/09/2005
Last updated
08/22/2020
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