Individual
XIAOFENG FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, PORTLAND, OR 97239-2964
(646) 420-1028
Mailing address
2155 NW FLANDERS ST, APT 7, PORTLAND, OR 97210-3423
(646) 420-1028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3255AT
OR
152W00000X
Optometrist
OD00004174
WA
152W00000X
Optometrist
TUV006791
NY
Other
Enumeration date
02/24/2006
Last updated
02/01/2022
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