Individual
CHYNNA RACHAEL TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4389AT
OR
Other
Enumeration date
07/12/2018
Last updated
02/04/2022
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