Individual
DR. MARIA JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(800) 949-1004
Mailing address
13330 RUSTY FIG CIR, CERRITOS, CA 90703-1311
(562) 650-4458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4293AT
OR
Other
Enumeration date
07/19/2017
Last updated
02/10/2022
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