M. Kwon. P.c., Inc.

NPI #1770727059 in Portland, Oregon

Provider Information

NPI Number: 1770727059
Entity Type: Organization
Organization Name: M. Kwon. P.c., Inc.
Primary Specialty: Optometrist
Enumeration Date: Apr 30, 2009
Last Updated: Apr 30, 2009

Practice Location

Address: 1260 LLOYD CTR
City: Portland
State: Oregon
ZIP Code: 97232-1301
Phone: (503) 331-3984

Authorized Official

Name: DR. MARIELLE KWON, O.D.
Title: PRESIDENT
Phone: (509) 994-6264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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