Brian Ki

NPI #1912360280 in Portland, Oregon

Provider Information

NPI Number: 1912360280
Entity Type: Individual
Name: Brian Ki
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Apr 3, 2016
Last Updated: Sep 27, 2021

Practice Location

Address: 7535 SW BARNES RD STE 111
City: Portland
State: Oregon
ZIP Code: 97225-6269
Phone: (503) 764-9321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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