Organization
T & K INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHANH T NGUYEN O.D. (OPTOMETRIST)
(503) 317-0332
Entity
Organization
Contact information
Practice address
4200 SE 82ND AVE, PORTLAND, OR 97266-2943
(503) 788-5343
Mailing address
5625 SE 48TH AVE, PORTLAND, OR 97206-5620
(503) 317-0332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2637AT
OR
Other
Enumeration date
04/23/2010
Last updated
12/04/2015
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