Alise Nichole Roberson, O.D.

NPI #1871956136 in Portland, Oregon

Provider Information

NPI Number: 1871956136
Entity Type: Individual
Name: Alise Nichole Roberson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 3, 2016
Last Updated: Feb 4, 2022

Practice Location

Address: 3600 N INTERSTATE AVE
City: Portland
State: Oregon
ZIP Code: 97227-1106
Phone: (503) 249-3429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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