Organization
DR. ALTON ROSSMAN & ASSOCIATES, INC.
Active
Other names
West Salem Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALTON STACY ROSSMAN O.D. (OWNER)
(503) 779-2119
Entity
Organization
Contact information
Practice address
1594 EDGEWATER ST NW STE 190, SALEM, OR 97304-4656
(503) 779-2119
Mailing address
1594 EDGEWATER ST NW STE 190, SALEM, OR 97304-4656
(503) 779-2119
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2855ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230911
—
OR
Enumeration date
08/11/2008
Last updated
08/11/2008
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