| NPI | 1700619947 |
|---|---|
| Doing Business As | JUANITA VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | QUANG NGUYEN Co President 503-442-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |