Montavilla Vision Professionals

NPI #1780420265 in Portland, Oregon

Provider Information

NPI Number: 1780420265
Entity Type: Organization
Organization Name: Montavilla Vision Professionals
Primary Specialty: Optometrist
Enumeration Date: Jul 3, 2024
Last Updated: Jul 3, 2024

Practice Location

Address: 8315 SE STARK ST
City: Portland
State: Oregon
ZIP Code: 97216-1143
Phone: (503) 282-3070

Authorized Official

Name: MRS. ANH T BUI
Title: OWNER
Phone: (503) 282-3070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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