Individual
AMRA SOFTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
200 BURNHAM RD UNIT 104, LAKE OSWEGO, OR 97034-5076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4646
OR
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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