Individual
STEPHANIE UGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 W ELM AVE, HERMISTON, OR 97838-6933
(541) 567-6623
Mailing address
1160 W ELM AVE, HERMISTON, OR 97838-6933
(541) 567-6623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4503
OR
Other
Enumeration date
03/10/2020
Last updated
05/28/2020
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