Individual
ANITA (ANNIE) PHROMSIVARAK BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
921 SW 16TH AVE, PORTLAND, OR 97205-1730
(503) 227-0573
Mailing address
921 SW 16TH AVE, PORTLAND, OR 97205-1730
(503) 227-0573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3195AT
OR
Other
Enumeration date
02/09/2007
Last updated
05/21/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us