Oregon Retina, LLP

NPI #1962824060 in Coquille, Oregon

Provider Information

NPI Number: 1962824060
Entity Type: Organization
Organization Name: Oregon Retina, LLP
Primary Specialty: Ophthalmology
Enumeration Date: Jan 9, 2014
Last Updated: Jan 9, 2014

Practice Location

Address: 855 W CENTRAL BLVD
City: Coquille
State: Oregon
ZIP Code: 97423-1095
Phone: (541) 762-2763

Authorized Official

Name: ALBERT EDWARDS, MD, PHD
Title: PHYSICIAN/OWNER
Phone: (541) 762-2763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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