Individual
DR. TARA PYU PYU THAN AYE SOLENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2647 NW LUPINE PL, CORVALLIS, OR 97330-3537
(541) 752-9802
Mailing address
2647 NW LUPINE PL, CORVALLIS, OR 97330-3537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2859T
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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