Individual
DR. POONAM PANNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2330 HERITAGE WAY SE, ALBANY, OR 97322-8600
(541) 926-6077
(541) 926-0605
Mailing address
2330 HERITAGE WAY SE, ALBANY, OR 97322-8600
(541) 926-6077
(541) 926-0605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4682
OR
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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