Glaucoma Associates & Consultation LLC

NPI #1578584702 in Portland, Oregon

Provider Information

NPI Number: 1578584702
Entity Type: Organization
Organization Name: Glaucoma Associates & Consultation LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 22, 2006
Last Updated: Mar 31, 2008

Practice Location

Address: 1040 NW 22ND AVE
Address 2: SUITE 200
City: Portland
State: Oregon
ZIP Code: 97210
Phone: (503) 413-8202

Authorized Official

Name: MR. STEVEN L MANSBERGER, MD MPH
Title: OPTHALMOLOGIST
Phone: (503) 413-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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