Glaucoma Associates & Consultation Llc

LBN: Glaucoma Associates & Consultation Llc
Glaucoma Associates & Consultation Llc is an health care organization with primary practice located at 1040 Nw 22Nd Ave Suite 200, Portland OR 97210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Glaucoma Associates & Consultation Llc can be contacted via phone (503) 413-8202, or through Mansberger, Steven L via phone (503) 413-6453.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 200 Portland OR 97210
Phone: (503) 413-8202
Fax: (503) 413-6937
Website:
Map and Directions
Authorized official contact:
Name: Mansberger, Steven L MD MPH
Phone: (503) 413-6453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD22167 Oregon

Profile Details

NPI number 1578584702
LBN Legal business name Glaucoma Associates & Consultation Llc
DBA Doing business as
Authorized official Mansberger, Steven L MD MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Mar 31st, 2008 - about 18 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 1578584702 NPPES
Oregon MEDICAID 213408

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