Organization
EYE HEALTH NORTHWEST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT WILLIAMS (CEO)
(503) 558-7372
Entity
Organization
Contact information
Practice address
11086 SE OAK ST, ADMINISTRATION, MILWAUKIE, OR 97222-6692
(503) 557-2020
(503) 557-2020
Mailing address
PO BOX 22009, MILWAUKIE, OR 97269-2009
(503) 557-2020
(503) 344-5110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085006
—
OR
Enumeration date
11/15/2005
Last updated
06/20/2023
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