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1522 Sw Sunset Blvd, Portland, OR 97239-2626 | |
| (503) 473-8039 | |
| (503) 473-8952 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1522 Sw Sunset Blvd, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770972515 | NPI | - | NPPES |
| 1164622288 | Other | OR | NPI OF SHERWOOD LOCATION UNDER SAME TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3023ATI (Oregon) | Primary |
| 152W00000X | Optometrist | 2151ATI (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
1522 Sw Sunset Blvd, Portland, OR 97239-2626 Ph: (503) 473-8039 | 1522 Sw Sunset Blvd, Portland, OR 97239-2626 Ph: (503) 473-8039 |
Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788 | |
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442 | |
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012 | |
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488 | |
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482 |