Forest Grove Medical PC
NPI #1154691830 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1154691830
- Entity Type
- Organization
- Organization Name
- Forest Grove Medical PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Jan 11, 2012
Practice Location
- Address
- 2804 19TH AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-2625
- Phone
- (503) 357-2020
Authorized Official
- Name
- BRAD C RICHARDSON, OD
- Title
- PRESIDENT
- Phone
- (503) 357-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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