Organization
GARY CROWELL OD PC
Active
Other names
MCMINNVILLE VISION CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY CROWELL OD (CEO)
(503) 472-0644
Entity
Organization
Contact information
Practice address
1291 N HWY 99 W, MCMINNVILLE, OR 97128
(503) 472-0644
(503) 472-0427
Mailing address
1291 N HWY 99 W, MCMINNVILLE, OR 97128
(503) 472-0644
(503) 472-0427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1224T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178004
—
OR
Enumeration date
02/06/2007
Last updated
06/17/2008
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