Individual
DR. ANGELA VICKI TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3978 N WILLIAMS AVE, PORTLAND, OR 97227
(503) 493-7070
Mailing address
3978 N WILLIAMS AVE, PORTLAND, OR 97227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14094
CA
152W00000X
Optometrist
Primary
46010497
IL
Other
Enumeration date
01/05/2011
Last updated
08/30/2018
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