Individual
MICHAEL R OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
620 E 1ST ST, NEWBERG, OR 97132-2912
(503) 847-9183
(971) 832-8578
Mailing address
620 E 1ST ST, NEWBERG, OR 97132-2912
(503) 847-9183
(971) 832-8578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3316ATI
OR
Other
Enumeration date
09/14/2009
Last updated
06/10/2020
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