MEDICARE: CEDAR HILLS VISION CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1417130030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR HILLS VISION CLINIC INC

Provider Business Mailing Address
First Line	:	1517 SW MARLOW AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-5101
Country	:	US
Telephone Number	:	503-292-5221
Fax Number	:	503-297-3937

Provider Business Practice Location Address
First Line	:	1517 SW MARLOW AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-5101
Country	:	US
Telephone Number	:	503-292-5221
Fax Number	:	503-297-3937

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	RUTH AIKEN
Credential	:
Telephone Number	:	503-292-5221

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	12/06/2007

Similar Medicare Providers

1457319725 — KIRK JOSEPH PARKER OD
Practice Location Address:

1517 SW MARLOW AVE
PORTLAND, OR
97225-5101

Practice Phone: 503-292-5221
Practice Fax: 503-297-3937

1700833209 — KIRK PARKER OD P C
Practice Location Address:

1517 SW MARLOW AVE
PORTLAND, OR
97225-5101

Practice Phone: 503-292-5221
Practice Fax: 503-297-3937

1831130566 — DR. RANDALL K COREY O.D.
Practice Location Address:

1517 SW MARLOW AVE
PORTLAND, OR
97225-5101

Practice Phone: 503-292-5221
Practice Fax: 503-297-3937

1184626970 — ROBERT LOUIS COURTOX PA
Practice Location Address:

2222 NW LOVEJOY ST , SUITE 315
PORTLAND, OR
97210-5101

Practice Phone: 503-226-6321
Practice Fax: 503-227-3422

1548252992 — MARK ALAN MARTIN MD
Practice Location Address:

2222 NW LOVEJOY ST , SUITE 315
PORTLAND, OR
97210-5101

Practice Phone: 503-266-6321
Practice Fax: 503-227-3422

1205828563 — JOSEPH EDWARD OKIES MD
Practice Location Address:

2222 NW LOVEJOY ST , SUITE 315
PORTLAND, OR
97210-5101

Practice Phone: 503-226-6321
Practice Fax: 503-227-3422

Directions to “CEDAR HILLS VISION CLINIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.