Troutdale Vision Clinic

LBN: The Spector Group, Inc.
Troutdale Vision Clinic is an health care organization with primary practice located at 226 E Historic Columbia River Hwy , Troutdale OR 97060-2069. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. The Spector Group, Inc. can be contacted via phone (503) 492-3897, or through Gurtisen, James Michael via phone (503) 492-3897.

Contact Information

Primary practice address
226 E Historic Columbia River Hwy Troutdale OR 97060-2069
Fax: (503) 665-4137
Website:
Authorized official contact:
Name: Gurtisen, James Michael Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2320T Oregon

Profile Details

NPI number 1205924206
LBN Legal business name The Spector Group, Inc.
DBA Doing business as Troutdale Vision Clinic
Authorized official Gurtisen, James Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 28th, 2014 - about 12 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 1205924206 NPPES
Oregon MEDICAID 031497
Oregon MEDICAID 2019628

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