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Individual

PAUL STANLEY TLUCEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5440 SW WESTGATE DR STE 217, PORTLAND, OR 97221-2421
(503) 274-2121
(866) 843-7990
Mailing address
4225 NE ST JAMES RD, VANCOUVER, WA 98663-2148
(503) 274-2121
(866) 843-7990

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25649
OK
207W00000X
Ophthalmology Physician
161778
OR
207W00000X
Ophthalmology Physician
39381
IA
207W00000X
Ophthalmology Physician
60335872
WA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD161778
OR
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD60335872
WA

Other

Enumeration date
06/22/2007
Last updated
10/01/2024
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