Eakland, Kenneth Warren

Eakland, Kenneth Warren is an individual health care provider with primary practice located at 2043 College Way , Forest Grove OR 97116-1756. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eakland, Kenneth Warren can be contacted via phone (503) 352-2193.

Contact Information

Primary practice address
2043 College Way Forest Grove OR 97116-1756
Phone: (503) 352-2193
Fax: (503) 352-2929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1685AT Oregon

Profile Details

NPI number 1962492595
LBN Legal business name Eakland, Kenneth Warren
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 31st, 2011 - about 13 years 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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