Eye Health Eastside Surgery Center
Eye Health Eastside Surgery Center is an Ambulatory Surgical Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.
- Licensed in
- OR
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
12050 SE Stevens Rd Ste 400Portland, OR 97086-7667
Phone: (971) 206-6100
Fax: (971) 206-6103
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 07-1553 (OR) |
|---|---|
| Ophthalmologic Surgery Clinic/Center | Taxonomy 261QS0132X · Licence 07-1553 (OR) |
Record details
| NPI number | 1750362869 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brett Williams — Ceo · (503) 344-5101 |
| NPI enumerated | November 7, 2005 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | Po Box 220059, Milwaukie, OR 97269-0059 |
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