Individual
DR. KELVIN KIU WING SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 880-1381
Mailing address
2543 NW OVERLOOK DR APT 127, HILLSBORO, OR 97124-7606
(503) 880-1381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3414ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
Primary
3414ATI
OR
Other
Enumeration date
10/07/2009
Last updated
07/14/2011
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