Individual
CHRISTINE JUNE MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(971) 282-7119
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12345678
OR
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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