Provider Demographics
NPI:1114056306
Name:TABOR INDUSTRIES, INC
Entity Type:Organization
Organization Name:TABOR INDUSTRIES, INC
Other - Org Name:MILWAUKIE OPTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:TABOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-636-9608
Mailing Address - Street 1:27 S STATE ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-3935
Mailing Address - Country:US
Mailing Address - Phone:503-636-9608
Mailing Address - Fax:503-636-9600
Practice Address - Street 1:2236 SE WASHINGTON ST
Practice Address - Street 2:SUITE D
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7696
Practice Address - Country:US
Practice Address - Phone:503-659-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15143332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier