Gresham Vision Source PC

NPI #1346323367 in Portland, Oregon

Provider Information

NPI Number: 1346323367
Entity Type: Organization
Organization Name: Gresham Vision Source PC
Primary Specialty: Optometrist
Enumeration Date: Oct 23, 2006
Last Updated: Mar 2, 2018

Practice Location

Address: 929 NE 181ST AVE
City: Portland
State: Oregon
ZIP Code: 97230-6757
Phone: (503) 669-1992

Authorized Official

Name: DR. TUAN TU NGUYEN, OD
Title: OPTOMETRIST OWNER
Phone: (503) 669-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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