URBAN EYE GALLERY, LLC
Optometry at 16 Ave, Portland, OR

License number
Oregon 3195 ATI
Category
Optometry
Type
Optometrist
Owner
Name: ANITA PHROMSIVARAK BACON O.D.
Title: MANAGING MEMBER
Phone: (503) 227-0573
Address
Address
921 SW 16Th Ave, Portland, OR 97205
National Provider ID: 1124466545
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about URBAN EYE GALLERY, LLC at bizstanding.com

URBAN EYE GALLERY, LLC

921 SW 16 Ave, Portland, OR 97205

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
May 3, 2012
State ID:
85417492
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Ssbls Services, Inc,209 SW Oak St STE 500, Portland, OR 97204 (Physical)

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