Individual
SYDNEY KAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15259 SE 82ND DR STE 101, CLACKAMAS, OR 97015-6609
(503) 657-0321
Mailing address
7620 SE HAROLD ST, PORTLAND, OR 97206-5234
(214) 680-0865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4450ATI
OR
152W00000X
Optometrist
OD60970333
WA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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