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1134101215
ROYCE LEON FONKEN
OREGON CITY, OR
NPI
1134101215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OR MD14414)
Enumeration Date
2005-11-15
Last Update Date
2009-11-17
Business Address
Dr. ROYCE LEON FONKEN MD
1306 DIVISION ST
OREGON CITY, OR 97045-1523
Phone number: 503-656-4221
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Mailing Address
Dr. ROYCE LEON FONKEN MD
11086 SE OAK ST
MILWAUKIE, OR 97222-6692
Phone number: 503-557-2020
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