Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific University EyeClinic Forest Grove
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOWNING (COMPLIANCE OFFICER)
(503) 352-2663
Entity
Organization
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-2020
(503) 352-2261
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-2020
(971) 266-2958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
163863
OR
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154054
—
OR
Enumeration date
08/25/2006
Last updated
11/14/2023
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