Individual
THU TRANG THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
970 NW EASTMAN PKWY, GRESHAM, OR 97030-5533
(503) 666-7703
Mailing address
3009 NE 165TH AVE, VANCOUVER, WA 98682-8681
(360) 433-9872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3364AT
OR
152W00000X
Optometrist
Primary
60167666
WA
Other
Enumeration date
08/26/2010
Last updated
10/28/2010
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