NPI Provider: 1922003821
Contact Name: Borg Pardal Belmira
Position: Administrator
Phone: (541) 482-8100
Siskiyiou Optical Information:
Siskiyiou Optical organization have npi 1922003821, taxonomy code is 207W00000X with license number is ARNP494212 in . This Business address located in 648 N Main St, Ashland, OR 97520 Oregon.
Practice Location
Address: 648 N Main St, Ashland, OR 97520
Phone: (541) 482-8100
Business Location
Address: 648 N Main St, Ashland, OR 97520
Phone: (541) 482-8100
Fax: (541) 488-5081
Taxonomy
Taxonomy Code: 207W00000X
License Number: ARNP494212
License Number of State: OR
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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