South Waterfront Eye Care Inc.

NPI #1447602818 in Portland, Oregon

Provider Information

NPI Number: 1447602818
Entity Type: Organization
Organization Name: South Waterfront Eye Care Inc.
Primary Specialty: Optometrist
Enumeration Date: Jul 8, 2016
Last Updated: Oct 22, 2024

Practice Location

Address: 3615 SW RIVER PKWY
City: Portland
State: Oregon
ZIP Code: 97239-4552
Phone: (971) 229-0820

Authorized Official

Name: DR. MILA IOUSSIFOVA, OD, CNS, FAAO
Title: PRESIDENT
Phone: (971) 229-0820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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