DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EAST PORTLAND OPTICAL SERVICE

MEDICARE: EAST PORTLAND OPTICAL SERVICE
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1902888118
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST PORTLAND OPTICAL SERVICE
Provider Business Mailing Address
First Line : PO BOX 22009
Second Line :
City : MILWAUKIE
State : OR
Zip : 97269-2009
Country : US
Telephone Number : 503-557-2020
Fax Number : 503-344-5110
Provider Business Practice Location Address
First Line : 10819 SE STARK ST
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97216-3161
Country : US
Telephone Number : 503-255-2291
Fax Number : 503-252-1797
Authorized Official
Title or Position : MEMBER/MANAGER
Name : DR. DONALD FREDERICK PLUMB
Credential : MD
Telephone Number : 503-557-2020
Provider Enumeration Date : 11/15/2005
Last Update Date : 09/17/2008

Similar Medicare Providers

1902804081 — MR. JONATHAN YOKEN MD
Practice Location Address:
10819 SE STARK ST , SUITE 200
PORTLAND, OR
97216-3161
Practice Phone: 503-654-7264
Practice Fax: 503-344-5110
1639151723 — DR. RONALD M HAMPEL OD
Practice Location Address:
10819 SE STARK ST , SUITE 200
PORTLAND, OR
97216-3161
Practice Phone: 503-255-2291
Practice Fax: 503-252-1797
1801878996 — DR. MARY CHRISTINE HAUPTMANN MD
Practice Location Address:
10819 SE STARK ST , SUITE 200
PORTLAND, OR
97216-3161
Practice Phone: 503-255-2291
Practice Fax: 503-252-1797
1205818267 — DR. DONALD FREDERICK PLUMB MD
Practice Location Address:
10819 SE STARK ST , SUITE 200
PORTLAND, OR
97216-3161
Practice Phone: 503-255-2291
Practice Fax: 503-252-1797
1649252685 — DR. DANIEL RAY HOLLAND MD
Practice Location Address:
10819 SE STARK ST , SUITE 200
PORTLAND, OR
97216-3161
Practice Phone: 503-255-2291
Practice Fax: 503-252-1797
1366424343 — DR. ROGER MOSS SAULSON MD
Practice Location Address:
10819 SE STARK ST , SUITE 200
PORTLAND, OR
97216-3161
Practice Phone: 503-255-2291
Practice Fax: 503-252-1797

Directions to “EAST PORTLAND OPTICAL SERVICE ” 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.