Gresham Vision Center, INC

NPI #1447280490 in Sandy, Oregon

Provider Information

NPI Number: 1447280490
Entity Type: Organization
Organization Name: Gresham Vision Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: GRESHAM VISION CENTER
Primary Specialty: Optometrist
Enumeration Date: Jul 4, 2006
Last Updated: Mar 19, 2015

Practice Location

Address: 39400 PIONEER BLVD STE 3
City: Sandy
State: Oregon
ZIP Code: 97055-8000
Phone: (503) 668-4313

Authorized Official

Name: DIANE GARDNER
Title: OFFICE MANAGER
Phone: (503) 665-3813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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