Organization
NEWBERG VISION CLINIC, P.C.
Active
Other names
Taylor Family Eye Care, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA A TAYLOR O.D. (SECRETARY TREASURER)
(503) 487-7658
Entity
Organization
Contact information
Practice address
2207 PORTLAND RD STE A, NEWBERG, OR 97132-1371
(503) 538-3277
Mailing address
2207 PORTLAND RD STE A, NEWBERG, OR 97132-1371
(503) 538-3277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3200ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006217
—
OR
01
—
R138510
MEDICARE PTAN
OR
Enumeration date
07/05/2007
Last updated
09/17/2009
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