Angela Ardiss, O.D.

NPI #1073756573 in Portland, Oregon

Provider Information

NPI Number: 1073756573
Entity Type: Individual
Name: Angela Ardiss, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 14, 2009
Last Updated: Dec 4, 2012

Practice Location

Address: 14740 NW CORNELL RD STE 110
City: Portland
State: Oregon
ZIP Code: 97229-5400
Phone: (503) 645-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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