Daryn W Derstine Od PC

NPI #1285779140 in Portland, Oregon

Provider Information

NPI Number: 1285779140
Entity Type: Organization
Organization Name: Daryn W Derstine Od PC
Primary Specialty: Optometrist
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 12000 SE 82ND AVE
Address 2: 1008
City: Portland
State: Oregon
ZIP Code: 97266-7721
Phone: (503) 654-6217

Authorized Official

Name: DR. DARYN W DERSTINE, O.D.
Title: PRESIDENT
Phone: (503) 654-6217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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