Individual
NATHAN KENJI CHOQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7421 SW BRIDGEPORT RD STE 200, TIGARD, OR 97224-7707
(503) 598-7616
(503) 598-7617
Mailing address
1098 NE ROMANE PL APT 5101, HILLSBORO, OR 97006-6072
(808) 927-4696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4564
OR
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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