Individual
STEPHANIE LYNN HWANG
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) 882-2686
Mailing address
15259 SE 82ND DR STE 101, CLACKAMAS, OR 97015-6609
(503) 882-2686
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
61104188
WA
152WP0200X
Pediatric Optometrist
ATI4547
OR
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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