Organization
LAKE OSWEGO VISION CLINIC LLC
Active
Other names
Lake Oswego Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MICHAEL SHELDON (PRESIDENT)
(541) 548-2488
Entity
Organization
Contact information
Practice address
15480 BOONES FERRY RD, LAKE OSWEGO, OR 97035-3429
(503) 635-1458
Mailing address
15480 BOONES FERRY RD, LAKE OSWEGO, OR 97035-3429
(503) 635-1458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1115355-6
OR
Other
Enumeration date
04/14/2007
Last updated
07/10/2025
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