Molalla Vision Clinic PC

NPI #1497931018 in Molalla, Oregon

Provider Information

NPI Number: 1497931018
Entity Type: Organization
Organization Name: Molalla Vision Clinic PC
Subpart: Yes (part of a larger organization)
Parent Organization: J. WALLACE WALKER OD
Primary Specialty: Optometrist
Enumeration Date: Jan 14, 2008
Last Updated: May 11, 2009

Practice Location

Address: 502 E MAIN ST
City: Molalla
State: Oregon
ZIP Code: 97038-9148
Phone: (503) 829-9186

Authorized Official

Name: MR. JAY WALLACE WALKER, OD
Title: OWNER
Phone: (503) 829-9186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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