Individual
XUAN NGUYEN NGOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9710 SE WASHINGTON ST STE D, PORTLAND, OR 97216
(503) 257-7770
(503) 257-1322
Mailing address
9710 SE WASHINGTON ST STE D, PORTLAND, OR 97216-8407
(503) 257-7770
(503) 257-1322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3618AT
OR
Other
Enumeration date
05/06/2015
Last updated
07/31/2018
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