Ardiss, Angela
Ardiss, Angela is an individual health care provider with primary practice located at 14740 Nw Cornell Rd Ste 110 , Portland OR 97229-5400. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ardiss, Angela can be contacted via phone (503) 645-8002.Contact Information
Primary practice address
14740 Nw Cornell Rd Ste 110
Portland OR 97229-5400
Phone: (503) 645-8002
Fax: (503) 645-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2506ATI | Oregon |
Profile Details
| NPI number | 1073756573 |
|---|---|
| LBN Legal business name | Ardiss, Angela |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Dec 4th, 2012 - about 14 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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