Individual
DR. KENNETH WARREN EAKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2193
(503) 352-2929
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2193
(503) 352-2929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1685AT
OR
Other
Enumeration date
10/25/2005
Last updated
10/31/2011
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