Organization
TILLAMOOK OPTOMETRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL NELSON (OFFICE MANAGER)
(503) 842-4202
Entity
Organization
Contact information
Practice address
102 MAIN AVE, TILLAMOOK, OR 97141-2218
(503) 842-4202
(503) 842-1002
Mailing address
102 MAIN AVE, TILLAMOOK, OR 97141-2218
(503) 842-4202
(503) 842-1002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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