Siskiyiou Optical

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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