Organization
FAMILY VISION OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L MANNEN OD (OWNER)
(503) 543-6313
Entity
Organization
Contact information
Practice address
51675 N COLUMBIA RIVER HWY, SCAPPOOSE, OR 97056
(503) 543-6313
(503) 543-6349
Mailing address
PO BOX 1228, SCAPPOOSE, OR 97056-1228
(503) 543-6313
(503) 543-6349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1494ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127704
—
OR
Enumeration date
07/06/2007
Last updated
07/28/2008
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