Paul Stasik Od PC

NPI #1396750717 in Portland, Oregon

Provider Information

NPI Number: 1396750717
Entity Type: Organization
Organization Name: Paul Stasik Od PC
Subpart: Yes (part of a larger organization)
Parent Organization: PAUL STASIK OD PC
Primary Specialty: Optometrist - Corneal and Contact Management
Enumeration Date: Jul 31, 2006
Last Updated: Sep 26, 2012

Practice Location

Address: 11750 SW BARNES RD
Address 2: SUITE 120
City: Portland
State: Oregon
ZIP Code: 97225-5911
Phone: (503) 646-5194

Authorized Official

Name: DR. PAUL M. STASIK, O.D.
Title: PRESIDENT
Phone: (503) 646-5194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X	Primary

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