Jose Marin JR., OD

NPI #1750485314 in Newberg, Oregon

Provider Information

NPI Number: 1750485314
Entity Type: Individual
Name: Jose Marin JR., OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 12, 2006
Last Updated: Sep 14, 2010

Practice Location

Address: 901 N BRUTSCHER ST STE E
City: Newberg
State: Oregon
ZIP Code: 97132
Phone: (803) 554-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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