Provider Demographics
NPI:1437284304
Name:REMY DELPLANCHE PC
Entity Type:Organization
Organization Name:REMY DELPLANCHE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REMY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DELPLANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:503-644-5665
Mailing Address - Street 1:4280 SW CEDAR HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2029
Mailing Address - Country:US
Mailing Address - Phone:503-644-5665
Mailing Address - Fax:
Practice Address - Street 1:4280 SW CEDAR HILLS BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2029
Practice Address - Country:US
Practice Address - Phone:503-644-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR120290Medicaid
ORR136787Medicare PIN
OR120290Medicaid