NPI 1245101393

Portland Vision LLC

Organisation Ophthalmology Physician Portland, OR

Practice location

Address: 1916 NE Broadway St, Portland, OR 97232-1502
Phone: (503) 546-4193
Mailing address: 1204 SE Lexington St, Portland, OR 97202-6364

Authorised official

Name: Shamis Fallah
Title: Managing Member
Phone: (510) 734-4567

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Oregon →

Registry record

NPI: 1245101393
Entity type: Organization
NPI issued: 12 Sep 2025
Record last updated: 12 Sep 2025

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.