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Individual

ZACHARY FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ABOC, NCLEC

Contact information

Practice address
10000 SE 82ND AVE, HAPPY VALLEY, OR 97086-2304
(503) 788-4761
(503) 788-4763
Mailing address
7931 SE MONROE ST APT 7931, MILWAUKIE, OR 97222-1441
(682) 307-9401

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
246012
NM

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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