Meganeko LLC

NPI #1184387532 in Portland, Oregon

Provider Information

NPI Number: 1184387532
Entity Type: Organization
Organization Name: Meganeko LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 21, 2021
Last Updated: Nov 4, 2021

Practice Location

Address: 7826 SW CAPITOL HWY
City: Portland
State: Oregon
ZIP Code: 97219-2466
Phone: (503) 863-0657

Authorized Official

Name: AYLA JADE HIMMELSBACH, OD
Title: OPTOMETRIST
Phone: (503) 863-0657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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