MEDICARE: KAREN TRUONG TRAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3550ATI	OR

General Provider Information

NPI Number	:	1720357825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN TRUONG TRAN OD

Provider Business Mailing Address
First Line	:	PO BOX 22009
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97269-2009
Country	:	US
Telephone Number	:	503-558-7372
Fax Number	:	503-344-5140

Provider Business Practice Location Address
First Line	:	24601 SE STARK ST STE 245
Second Line	:
City	:	TROUTDALE
State	:	OR
Zip	:	97060-3355
Country	:	US
Telephone Number	:	503-255-2291
Fax Number	:	503-667-2432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2011
Last Update Date	:	02/23/2026

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Directions to “ KAREN TRUONG TRAN OD” Practice Location

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