DR. Molly Sue Phan, O.D.

NPI #1124003397 in Portland, Oregon

Provider Information

NPI Number: 1124003397
Entity Type: Individual
Name: DR. Molly Sue Phan, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 10, 2005
Last Updated: Feb 23, 2021

Practice Location

Address: 3710 SW US VETERANS HOSPITAL RD
City: Portland
State: Oregon
ZIP Code: 97239-2964
Phone: (503) 220-8262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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