Eye Health Northwest P.c.

NPI #1235463894 in Portland, Oregon

Provider Information

NPI Number: 1235463894
Entity Type: Organization
Organization Name: Eye Health Northwest P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: EYE HEALTH NORTHWEST P.C.
Primary Specialty: Ophthalmology
Enumeration Date: Sep 29, 2009
Last Updated: Feb 20, 2021

Practice Location

Address: 3246 N LOMBARD ST
City: Portland
State: Oregon
ZIP Code: 97217-1206
Phone: (503) 285-1671

Authorized Official

Name: DR. SHANE K KIM, M.D.
Title: PRESIDENT
Phone: (503) 255-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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