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Individual

ANNA NGUYEN BRADSTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
9730 SW WASHINGTON SQUARE RD, TIGARD, OR 97223-4453
(503) 624-0666
Mailing address
9730 SW WASHINGTON SQUARE RD, TIGARD, OR 97223-4453
(503) 624-0666

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3569ATI
OR

Other

Enumeration date
10/19/2011
Last updated
09/18/2020
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