Individual
TERESA S CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233
(503) 669-3900
Mailing address
12558 NW FOREST SPRING LN, PORTLAND, OR 97229-9360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14270
CA
152W00000X
Optometrist
Primary
3588AT
OR
152W00000X
Optometrist
OD60636151
WA
Other
Enumeration date
08/12/2011
Last updated
05/12/2016
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