Daryn W Derstine OD PC
Daryn W Derstine OD PC is an Optometrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12000 SE 82nd Ave 1008Portland, OR 97266-7721
Phone: (503) 654-6217
Fax: (503) 654-9335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 2773ATI (OR) |
|---|
Record details
| NPI number | 1285779140 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daryn Derstine — President · (503) 654-6217 |
| Other names | Master Eye Associates, Se |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12000 Se 82nd Ave, 1008, Portland, OR 97086 |
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