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Organization

BEAUMONT VISION, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN R LEWIS OD (OPTOMETRIST)
(503) 331-3937
Entity
Organization

Contact information

Practice address
4331 NE FREMONT STREET, PORTLAND, OR 97213
(503) 331-3937
(503) 528-1234
Mailing address
4331 NE FREMONT STREET, PORTLAND, OR 97213
(503) 331-3937
(503) 528-1234

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2852 ATI
OR

Other

Enumeration date
06/28/2007
Last updated
09/10/2007
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