Organization
OPTIK PDX LLC
Active
Other names
Optik PDX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZRA ATIKUNE O.D. (MEMBER/OPTOMETRIST)
(503) 206-3937
Entity
Organization
Contact information
Practice address
3838 N MISSISSIPPI AVE, PORTLAND, OR 97227-1161
(503) 206-3937
(503) 206-3690
Mailing address
3838 N MISSISSIPPI AVE, PORTLAND, OR 97227-1161
(503) 206-3937
(503) 206-3690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3344AT
OR
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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