PORTLAND OCULOPLASTICS, PC
Medical Practice at 11 Ave, Portland, OR

License number
Oregon MD21723
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. SCOT A SULLIVAN M.D.
Title: PRESIDENT
Phone: (503) 223-8333
Address
Address
833 SW 11Th Ave SUITE 833, Portland, OR 97205
National Provider ID: 1316121692
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PORTLAND OCULOPLASTICS, PC

Eugene, OR  -  Portland, OR

Doing business as:
Portland Oculoplastics PC - Scot A Sullivan MD
Registration:
Aug 18, 2005
Site:
portlandoculoplastics.com
Phone:
(503) 223-8333 (Phone)
Addresses:
PO Box 10567, Eugene, OR 97440 (Mailing)
833 SW 11 Ave STE 833, Portland, OR 97205 (Physical)
Categories:
Ophthalmology Physicians & Surgeons, Physicians & Surgeons
Payment options:
American Express, Visa

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