Retina Northwest P.c.

NPI #1104813781 in Portland, Oregon

Provider Information

NPI Number: 1104813781
Entity Type: Organization
Organization Name: Retina Northwest P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Sep 29, 2005
Last Updated: May 11, 2023

Practice Location

Address: 5440 SW WESTGATE DR STE 217
City: Portland
State: Oregon
ZIP Code: 97221-2421
Phone: (503) 274-2121

Authorized Official

Name: KAREN L MARSHALL, COE
Title: PRACTICE MANAGER
Phone: (503) 274-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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