St Lukes Eye Clinic Pc

LBN: St Lukes Eye Clinic Pc
St Lukes Eye Clinic Pc is an health care organization with primary practice located at 10365 Se Sunnyside Rd Suite 150, Clackamas OR 97015-5741. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. St Lukes Eye Clinic Pc can be contacted via phone (503) 698-2300, or through Betts, Jay Gordon via phone (503) 698-2300.

Contact Information

Primary practice address
10365 Se Sunnyside Rd Suite 150 Clackamas OR 97015-5741
Phone: (503) 698-2300
Fax: (503) 698-2308
Website:
Map and Directions
Authorized official contact:
Name: Betts, Jay Gordon Doctor of Osteopathy (DO)
Phone: (503) 698-2300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DO07540 Oregon

Profile Details

NPI number 1730366246
LBN Legal business name St Lukes Eye Clinic Pc
DBA Doing business as
Authorized official Betts, Jay Gordon Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 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 1730366246 NPPES
Oregon MEDICAID 067231

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