Organization
WAYNE L GERIG OD
Active
Parent organization
WAYNE L GERIG
Other names
20/20 EYECARE PROFESSIONALS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE L GERIG
Authorized official
DR. WAYNE L GERIG OD (OWNER)
(503) 244-1004
Entity
Organization
Contact information
Practice address
10225 SW HALL BLVD, STE 101, TIGARD, OR 97223-8855
(503) 244-1004
(503) 244-1006
Mailing address
10225 SW HALL BLVD STE 101, TIGARD, OR 97223-8855
(503) 244-1004
(503) 244-1006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1478AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283135
—
OR
Enumeration date
03/12/2008
Last updated
04/16/2015
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