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General NPI Number Information
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NPI Number | 1306077417
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Entity Type | Individual
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Provider Name | ELEANOR MUNOZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 18750 WILLAMETTE DR STE C
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City | WEST LINN
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State | OR
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Zip | 97068-1700
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Country | US
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Telephone | 503-697-8879
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Fax | 503-636-0144
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Provider Business Mailing Address
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Address Line | 7005 SW ALGONKIN ST
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City | TUALATIN
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State | OR
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Zip | 97062-9212
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Country | US
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Telephone | 971-732-9494
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD60119602
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3330ATI
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License Number State | OR
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