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Individual

MR. ROBERT OUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ABOC, NCLC, LDO

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3995
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3995

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
DO00001793
WA
156FX1800X
Optician
DO00001793
WA

Other

Enumeration date
09/29/2006
Last updated
07/16/2007
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