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General NPI Number Information
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NPI Number | 1639247885
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Entity Type | Organization
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Legal Business Name | THE EYE CLINIC PC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 9155 SW BARNES RD STE 430
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City | PORTLAND
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State | OR
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Zip | 97225-6625
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Country | US
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Telephone | 503-297-4718
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Fax | 503-292-4496
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Provider Business Mailing Address
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Address Line | 9155 SW BARNES RD STE 340
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City | PORTLAND
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State | OR
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Zip | 97225-6630
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Country | US
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Telephone | 503-297-4718
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Fax | 503-292-4496
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN H WILKINS
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Credential | MD
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Telephone | 503-297-4718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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