Portland Vision LLC

NPI #1245101393 in Portland, Oregon

Provider Information

NPI Number: 1245101393
Entity Type: Organization
Organization Name: Portland Vision LLC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 12, 2025
Last Updated: Sep 12, 2025

Practice Location

Address: 1916 NE BROADWAY ST
City: Portland
State: Oregon
ZIP Code: 97232-1502
Phone: (503) 546-4193

Authorized Official

Name: DR. SHAMIS FALLAH, DO
Title: MANAGING MEMBER
Phone: (510) 734-4567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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