Individual
THUY CHU TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4526 NE SANDY BOULEVARD, PORTLAND, OR 97213
(503) 284-9071
(503) 287-6169
Mailing address
4526 NE SANDY BLVD, PORTLAND, OR 97213-1438
(503) 284-9071
(506) 287-6169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4009ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059253000
FIRST CHOICE
OR
05
—
069336
—
OR
01
—
5555758
AETNA
OR
01
—
U55166
BCBS, ODS, PROVIDENCE
OR
Enumeration date
07/25/2006
Last updated
07/09/2007
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