person
Mrs. Vayakone Philavanh, LDO
Optician in Portland, Oregon
NPI 1710094560

Vayakone Philavanh is a Optician based in Fairview, OR and is specialized in Optician. Vayakone Philavanh practices in Portland, OR and has the professional credentials of LDO. The NPI Number for Vayakone Philavanh is 1710094560 and holds a License No. DO00002172 (Oregon).

The current practice location address for Vayakone Philavanh is 19500 Se Stark St, Portland, OR and can be reached out via phone at 503-669-3995 and via fax at 503-669-3956.

Location: 19500 Se Stark St, Portland, OR, 97024-8758
person
Provider Profile Details
NPI Number
1710094560
Provider Name
Vayakone Philavanh
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
19500 Se Stark St, Portland, OR, 97024-8758
Phone Number
503-669-3995
Fax Number
503-669-3956
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
19500 Se Stark St
City
State
Zip
97233-5757
Phone Number
503-669-3995
Fax Number
503-669-3956
person
Provider Business Mailing Address Details
Address
19500 Se Stark St
City
State
Zip
97233-5757
Phone Number
503-669-3995
Fax Number
503-669-3956
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO00002172 (Washington)
Definition
Definition to come...
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