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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALONEY'S CUSTOM OCULAR PROSTHETICS, INC.

Active Organization

Ocularist · LAKE OSWEGO, OR

Registration Details

NPI Number
1043360977
Provider Type
Organization
NPI Issued
Jan 11, 2007 (19.278231654012 yrs)
Last Updated
Jun 26, 2012
License
2002801 (OR)

Practice Information

Address
4035 MERCANTILE DR STE 208
LAKE OSWEGO, OR, 970352591
Browse OR providers · Browse ZIP 97035
Phone
5036751320
Primary Specialty
Ocularist
156FX1700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.