Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Portland Oculoplastics, PC

Organization Ophthalmology Physician · NPI 1316121692

Portland Oculoplastics, PC is an Ophthalmology Physician 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.

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Practice location Address checks out

10305 SW Park Way Ste 203
Portland, OR 97225-5033
Phone: (503) 223-8333
Fax: (503) 595-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD21723 (OR)

Record details

NPI number1316121692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scot Sullivan — President · (503) 223-8333
NPI enumeratedDecember 22, 2007
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address10305 Sw Park Way Ste 203, Portland, OR 97225-5033

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