Alexa Nicole Thavorn I, OD

NPI #1083205074 in Portland, Oregon

Provider Information

NPI Number
1083205074
Entity Type
Individual
Name
Alexa Nicole Thavorn I, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Feb 1, 2021
Last Updated
Feb 1, 2021

Practice Location

Address
11805 NW CEDAR FALLS DR STE 105
State
Oregon
ZIP Code
97229-2780
Phone
(503) 747-0265

Specialties & Taxonomy Codes

Specialty
Optometrist

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