Organization
EYE HEALTH NORTHWEST OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WELLS BENTLEY MD (PRESIDENT)
(503) 557-2020
Entity
Organization
Contact information
Practice address
1306 DIVISION ST, OREGON CITY, OR 97045-1523
(503) 656-4221
(503) 656-4249
Mailing address
PO BOX 22009, MILWAUKIE, OR 97269-2009
(503) 557-2020
(503) 344-5110
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/15/2005
Last updated
09/17/2008
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