Individual
YUESUM TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3333 SE BELMONT ST, PORTLAND, OR 97214-4244
(503) 335-7173
(503) 335-7973
Mailing address
2368 W BURNSIDE ST, PORTLAND, OR 97210-3538
(503) 830-0265
(503) 335-7973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10865T
CA
152W00000X
Optometrist
Primary
3153T
OR
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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