Organization
EYE HEALTH NORTHWEST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT M WILLIAMS (CEO)
(503) 558-7372
Entity
Organization
Contact information
Practice address
5935 SE DIVISION ST, PORTLAND, OR 97206-1470
(503) 777-5546
Mailing address
PO BOX 22009, MILWAUKIE, OR 97269-2009
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
12/21/2021
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