DESCHUTES EYE CLINIC PC
Ambulatory Health at Highland Ave, Eagle Crest, OR

License number
Oregon 071581
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. OLI TRAUSTASON M.D.
Title: PRESIDENT
Phone: (541) 548-7170
Address
Address
813 SW Highland Ave, Eagle Crest, OR 97756
National Provider ID: 1063635506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESCHUTES EYE CLINIC, PC

1775 SW Umatilla Ave, Redmond, OR 97756

Registration:
Mar 8, 1994
State ID:
38919387
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Mn Service Corporation (Oregon),111 SW 5 Ave STE 3400, Portland, OR 97204 (Physical)

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