Individual
DR. KHANH T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5625 SE 48TH AVE, PORTLAND, OR 97206-5620
(503) 788-5343
(503) 788-1116
Mailing address
5625 SE 48TH AVE, PORTLAND, OR 97206-5620
(503) 788-5343
(503) 788-1116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2637
OR
Other
Enumeration date
09/20/2006
Last updated
12/04/2015
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