Organization
COLUMBIA OPTICAL CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR NOLES OD (OPTOMETRIST)
(503) 639-0488
Entity
Organization
Contact information
Practice address
10144 SW WASHINGTON SQUARE RD, PORTLAND, OR 97223-4458
(503) 639-0488
(503) 620-4448
Mailing address
10144 SW WASHINGTON SQUARE RD, PORTLAND, OR 97223-4458
(503) 639-0488
(503) 620-4448
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1052ATI
OR
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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