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Bret Provost, O.D
NPI 1528093556 · on the registry since 2006
Practice
- Address
- 9201 Se 91st Ave
Suite 210
Clackamas, OR 97086 - Phone
- (503) 775-2424
- Fax
- (503) 775-6181
- Organisation at this address
- River City Eyecare, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon