Individual
THUY HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8315 SE STARK ST, PORTLAND, OR 97216-1143
(503) 282-3070
Mailing address
8315 SE STARK ST, PORTLAND, OR 97216-1143
(503) 282-3070
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
OR
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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