Mt. Hood Vision Center, LLC

NPI #1053476143 in Gresham, Oregon

Provider Information

NPI Number: 1053476143
Entity Type: Organization
Organization Name: Mt. Hood Vision Center, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 27, 2006
Last Updated: Jan 25, 2011

Practice Location

Address: 22640 SE STARK ST
City: Gresham
State: Oregon
ZIP Code: 97030-2656
Phone: (503) 667-0441

Authorized Official

Name: MARK GEORGE, OD
Title: PRESIDENT
Phone: (503) 667-0441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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