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1235281379
DEREK JEN KON LOUIE
PORTLAND, OR
NPI
1235281379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 3196ATI)
Enumeration Date
2007-01-17
Last Update Date
2022-02-24
Business Address
DEREK JEN KON LOUIE BS, MS, OD
3375 SW TERWILLIGER BLVD
PORTLAND, OR 97239
Phone number: 503-494-3000
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Mailing Address
DEREK JEN KON LOUIE BS, MS, OD
3303 S BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-3000
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