Individual
TINA DIEM VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-6151
Mailing address
2225 NE 88TH AVE, PORTLAND, OR 97220-5430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4792
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2025
Last updated
08/16/2025
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