Individual
JOHN EDWARD SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3010 22ND AVE APT 31, FOREST GROVE, OR 97116-1884
(253) 549-6092
Mailing address
PO BOX 662, CORNELIUS, OR 97113-0662
(253) 549-6092
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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