Charles Albert Mcbride

NPI #1497257828 in Beaverton, Oregon

Provider Information

NPI Number: 1497257828
Entity Type: Organization
Organization Name: Charles Albert Mcbride
Primary Specialty: Optometrist
Enumeration Date: Mar 1, 2018
Last Updated: Aug 29, 2018

Practice Location

Address: 12370 SW 1ST ST
City: Beaverton
State: Oregon
ZIP Code: 97005
Phone: (503) 644-3614

Authorized Official

Name: CHARLES A MCBRIDE, OD
Title: OWNER
Phone: (503) 644-3614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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