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Organization

JD HARRIS PC

Active
Other names
Beaverton Vision World
Organization subpart
No

Provider details

NPI number
Authorized official
IRENE ERNESTINA OLIVIERI-HARRIS (CORPORATE SECRETARY/BUSINESS MANAGE)
(503) 526-9697
Entity
Organization

Contact information

Practice address
11020 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3007
(503) 789-6720
(503) 644-8330
Mailing address
11020 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3007
(503) 526-9697
(503) 644-8330

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1863T
OR
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500614131
OR
Enumeration date
11/09/2007
Last updated
09/01/2021
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