Ryan Steve Kucala, OD

NPI #1720645302 in Portland, Oregon

Provider Information

NPI Number: 1720645302
Entity Type: Individual
Name: Ryan Steve Kucala, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 20, 2019
Last Updated: Jul 2, 2020

Practice Location

Address: 520 NW LOST SPRINGS TER # UNITE203
City: Portland
State: Oregon
ZIP Code: 97229-6655
Phone: (503) 621-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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