| |
108 N 7th St, Reedsport, OR 97467-1503 | |
(541) 271-2312 | |
(541) 271-4502 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 108 N 7th St, Reedsport, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194850743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1206ATI (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Po Box 65, Reedsport, OR 97467-0065 Ph: (541) 271-2312 | 108 N 7th St, Reedsport, OR 97467-1503 Ph: (541) 271-2312 |