Willow Creek Eye Care Inc.

NPI #1598000903 in Portland, Oregon

Provider Information

NPI Number: 1598000903
Entity Type: Organization
Organization Name: Willow Creek Eye Care Inc.
Primary Specialty: Optometrist - Corneal and Contact Management
Enumeration Date: Dec 11, 2012
Last Updated: Dec 15, 2012

Practice Location

Address: 14740 NW CORNELL RD STE 110
City: Portland
State: Oregon
ZIP Code: 97229-5400
Phone: (503) 645-8002

Authorized Official

Name: DR. PAOLA F VITIELLO, O.D
Title: PRESIDENT
Phone: (503) 645-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X	Primary

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