DR. Evan Wollen, O.D.

NPI #1639421977 in Forest Grove, Oregon

Provider Information

NPI Number
1639421977
Entity Type
Individual
Name
DR. Evan Wollen, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
O.D.
Enumeration Date
Oct 10, 2012
Last Updated
Oct 10, 2012

Practice Location

Address
2210 C ST APT 5
State
Oregon
ZIP Code
97116-1654
Phone
(503) 443-9285

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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