Costco Wholesale Corporation

NPI #1093105595 in Clackamas, Oregon

Provider Information

NPI Number: 1093105595
Entity Type: Organization
Organization Name: Costco Wholesale Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: COSTCO WHOLESALE CORPORATION
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 4, 2015
Last Updated: Feb 20, 2020

Practice Location

Address: 13130 SE 84TH AVE
City: Clackamas
State: Oregon
ZIP Code: 97015-9733
Phone: (503) 794-5500

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (503) 794-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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