Oswego Optique INC

NPI #1376680454 in Lake Oswego, Oregon

Provider Information

NPI Number: 1376680454
Entity Type: Organization
Organization Name: Oswego Optique INC
Primary Specialty: Optometrist
Enumeration Date: Jan 30, 2007
Last Updated: Aug 31, 2015

Practice Location

Address: 466 2ND ST
City: Lake Oswego
State: Oregon
ZIP Code: 97034-3127
Phone: (503) 636-6900

Authorized Official

Name: DR. STEPHEN J OLSEN, OD
Title: OWNER
Phone: (503) 636-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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