Mt. Hood Vision, INC

NPI #1477571149 in Gresham, Oregon

Provider Information

NPI Number: 1477571149
Entity Type: Organization
Organization Name: Mt. Hood Vision, INC
Primary Specialty: Optometrist
Enumeration Date: Jul 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 22400 SE STARK ST
City: Gresham
State: Oregon
ZIP Code: 97030-2656
Phone: (503) 667-0441

Authorized Official

Name: O. KEENE CLAY, O.D.
Title: PRESIDENT
Phone: (503) 667-0441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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