Individual
DR. TONY GENDVILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9499 SW WASHINGTON SQUARE RD, TIGARD, OR 97223-4448
(503) 968-5249
(503) 968-9237
Mailing address
PO BOX 629, WEST LINN, OR 97068-0629
(503) 631-8331
(503) 212-9775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1689T
OR
Other
Enumeration date
07/22/2006
Last updated
07/09/2007
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