Individual
PHUONG LE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1040 NW 22ND AVE, SUITE 168, PORTLAND, OR 97210-3057
(503) 413-7022
(503) 413-7006
Mailing address
1025 NW COUCH ST, PORTLAND, OR 97209-4131
(503) 544-7046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2788 AT
OR
152WC0802X
Corneal and Contact Management Optometrist
Primary
2788 AT
OR
Other
Enumeration date
11/15/2005
Last updated
09/11/2025
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