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Individual

ETIENNE BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2700 14TH AVE SE, ALBANY, OR 97322-6956
(541) 928-1667
Mailing address
1595 WAVERLY DR SE APT 201, ALBANY, OR 97322-8138
(857) 361-9339

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT4700
OR

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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