Individual
JESSICA CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(800) 813-2000
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(971) 610-7891
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT4608
OR
152W00000X
Optometrist
OPT.0003605
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2020
Last updated
04/30/2024
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