Individual
JESSICA VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15320 NW CENTRAL DR STE D8, PORTLAND, OR 97229-0990
(503) 430-0386
Mailing address
10194 NW PRISCILLA CT, PORTLAND, OR 97229-5272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4681
OR
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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