Cea Acquisition LLC

NPI #1629308010 in Clackamas, Oregon

Provider Information

NPI Number: 1629308010
Entity Type: Organization
Organization Name: Cea Acquisition LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jan 6, 2010
Last Updated: Dec 3, 2010

Practice Location

Address: 10001 SE SUNNYSIDE RD
Address 2: STE 100
City: Clackamas
State: Oregon
ZIP Code: 97015-5746
Phone: (503) 562-0600

Authorized Official

Name: F. MICHAEL CORNELL, MD
Title: SOLO MEMBER
Phone: (503) 652-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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