Aeg Oregon Professional LLC

NPI #1679253397 in Salem, Oregon

Provider Information

NPI Number: 1679253397
Entity Type: Organization
Organization Name: Aeg Oregon Professional LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 18, 2023
Last Updated: Jun 20, 2024

Practice Location

Address: 990 BROADWAY ST NE STE 100
City: Salem
State: Oregon
ZIP Code: 97301-1396
Phone: (503) 364-0767

Authorized Official

Name: MELISSA K ALLISON
Title: SR. DIRECTOR RCM/MVC
Phone: (314) 741-8183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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