Individual
ANNA XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 SE STEVENS CT STE 103, CLACKAMAS, OR 97086-4707
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4557
OR
152W00000X
Optometrist
9808
TX
152W00000X
Optometrist
OD61393933
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2019
Last updated
05/12/2025
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