Individual
DR. JENNA LACE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10225 SW HALL BLVD STE 101, TIGARD, OR 97223-8855
(032) 441-0045
(503) 244-1006
Mailing address
10225 SW HALL BLVD STE 101, TIGARD, OR 97223-8855
(503) 244-1004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
33999
CA
152W00000X
Optometrist
Primary
4660
OR
Other
Enumeration date
05/03/2018
Last updated
10/04/2023
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