Willamette Vision Center INC

NPI #1053307413 in Salem, Oregon

Provider Information

NPI Number: 1053307413
Entity Type: Organization
Organization Name: Willamette Vision Center INC
Primary Specialty: Optometrist
Enumeration Date: Sep 21, 2005
Last Updated: Jun 8, 2011

Practice Location

Address: 3400 STATE ST
Address 2: #G-770
City: Salem
State: Oregon
ZIP Code: 97301-5861
Phone: (503) 585-6700

Authorized Official

Name: MRS. MICKEY M VORPAHL
Title: MANAGER SECRETARY
Phone: (503) 585-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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