Individual
DR. SCOTT DANIEL KLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2020
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1739
AZ
152W00000X
Optometrist
Primary
3320AT
OR
152W00000X
Optometrist
33856TLG
CA
Other
Enumeration date
07/16/2009
Last updated
07/09/2019
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