Individual
NHUNG DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
221 W STEWART AVE STE 110, MEDFORD, OR 97501-3647
(541) 776-9026
Mailing address
221 W STEWART AVE STE 110, MEDFORD, OR 97501-3647
(541) 494-5325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4593
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000796034
—
OR
Enumeration date
08/03/2021
Last updated
07/12/2022
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