Oregon Retina, LLP

NPI #1962824821 in Bandon, Oregon

Provider Information

NPI Number: 1962824821
Entity Type: Organization
Organization Name: Oregon Retina, LLP
Primary Specialty: Ophthalmology
Enumeration Date: Jan 13, 2014
Last Updated: Jan 13, 2014

Practice Location

Address: 1095 ALABAMA STREET
City: Bandon
State: Oregon
ZIP Code: 97411
Phone: (541) 762-2763

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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