Individual
AMANDA KRISTI DIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3000
(503) 418-0843
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3000
(503) 418-0843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4525AT
OR
Other
Enumeration date
05/18/2020
Last updated
07/29/2020
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