Avisado, Mary Joyce
Avisado, Mary Joyce is an individual health care provider with primary practice located at 2043 College Way , Forest Grove OR 97116-1797. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Avisado, Mary Joyce can be contacted via phone (503) 352-2020.Contact Information
Primary practice address
2043 College Way
Forest Grove OR 97116-1797
Phone: (503) 352-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ATI4728 | Oregon |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Eye and Vision Services Providers / Optometrist | 152W00000X | ATI4728 | Oregon |
Profile Details
NPI number | 1699532069 |
---|---|
LBN Legal business name | Avisado, Mary Joyce |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2024 |
Last updated | Jun 17th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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