IndividualActive
Derek Buchanan
NPI 1710048335 · Optician · Portland, OR
Provider details
- NPI number
- 1710048335
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- NOT APPLICABLE (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
925 Sw Taylor St
Portland, OR 97205-2503
Phone: (503) 228-2154
Fax: (503) 228-4694
Approximate (ZIP-level) locationGet directions
Mailing address
925 Sw Taylor St
Portland, OR 97205-2503
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.