Individual
BRYAN H DECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2673
OR
Other
Enumeration date
07/13/2006
Last updated
07/09/2007
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