| NPI | 1528691110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH LINH HOANG Medical Director 503-255-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2026-03-03 |