Organization
ADVANTAGE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEB SCHULTZ (BOOK KEEPER)
(503) 709-8869
Entity
Organization
Contact information
Practice address
502 MAIN ST, OREGON CITY, OR 97045-1811
(503) 650-1839
(503) 650-5357
Mailing address
502 MAIN ST, OREGON CITY, OR 97045-1811
(503) 650-1839
(503) 650-5357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
764T
OR
Other
Enumeration date
04/23/2007
Last updated
03/16/2010
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