Organization
CEA ACQUISITION LLC
Active
Other names
Cascade Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
F. MICHAEL CORNELL MD (SOLO MEMBER)
(503) 652-0600
Entity
Organization
Contact information
Practice address
10001 SE SUNNYSIDE RD, STE 100, CLACKAMAS, OR 97015-5746
(503) 562-0600
(503) 652-0601
Mailing address
10001 SE SUNNYSIDE RD, STE 100, CLACKAMAS, OR 97015-5746
(503) 562-0600
(503) 652-0601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629188982
INDIVIDUAL NPI
OR
Enumeration date
01/06/2010
Last updated
12/03/2010
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