Eye Health Northwest P.C.

LBN: Eye Health Northwest P.C.
Eye Health Northwest P.C. is an health care organization with primary practice located at 11086 Se Oak St , Milwaukie OR 97222-6692. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Health Northwest P.C. can be contacted via phone (503) 656-4221, or through Kim, Shane K via phone (503) 255-2291.

Contact Information

Primary practice address
11086 Se Oak St Milwaukie OR 97222-6692
Phone: (503) 656-4221
Fax: (503) 656-4249
Website:
Map and Directions
Authorized official contact:
Name: Kim, Shane K Doctor of Medicine (MD)
Phone: (503) 255-2291

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1124353362
LBN Legal business name Eye Health Northwest P.C.
DBA Doing business as
Authorized official Kim, Shane K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2009
Last updated Feb 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124353362 NPPES
Oregon MEDICAID 085006

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