Individual
GWEN BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(619) 549-1293
Mailing address
2250 NW LOVEJOY ST, PORTLAND, OR 97210-3020
(503) 719-5179
(971) 302-6934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4304
OR
Other
Enumeration date
03/31/2016
Last updated
09/21/2021
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