NPI 1104813781

Retina Northwest P.C.

Organisation Ophthalmology Physician Portland, OR

Practice location

Address: 5440 SW Westgate Dr STE 217, Portland, OR 97221-2421
Phone: (503) 274-2121
Fax: (866) 843-7990
Mailing address: 4225 NE St James Rd, Vancouver, WA 98663-2148

Authorised official

Name: Karen L Marshall
Title: Practice Manager
Phone: (503) 274-2121

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 02670693 (OR)

Other Ophthalmology providers in Oregon →

Registry record

NPI: 1104813781
Entity type: Organization
NPI issued: 29 Sep 2005
Record last updated: 11 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.