Organization
CARENET PDX LLC
Active
Other names
Eye Q Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THUY N NGUYEN OD (OPTOMETRIST)
(503) 232-1958
Entity
Organization
Contact information
Practice address
2460 E BURNSIDE ST, PORTLAND, OR 97214-1752
(503) 232-1958
(503) 232-1941
Mailing address
2460 E BURNSIDE ST, PORTLAND, OR 97214-1752
(503) 232-1958
(503) 232-1941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R177874
—
OR
Enumeration date
10/20/2020
Last updated
10/20/2020
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