Individual
CHI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 COLLEGE WAY BLDG 2221, FOREST GROVE, OR 97116-1756
(503) 352-2020
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4627
OR
152WC0802X
Corneal and Contact Management Optometrist
ATI4627
OR
Other
Enumeration date
05/27/2022
Last updated
07/12/2022
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