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NPI Code Detail

MEDICARE: DR. UYEN TRAM DINH O.D.

MEDICARE: DR. UYEN TRAM DINH O.D.
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
1152W00000XOptometrist2774ATOR

General Provider Information

NPI Number : 1750410734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. UYEN TRAM DINH O.D.
Provider Business Mailing Address
First Line : 16981 SE DUNHILL LOOP
Second Line :
City : DAMASCUS
State : OR
Zip : 97015-6883
Country : US
Telephone Number : 503-341-5989
Fax Number :
Provider Business Practice Location Address
First Line : 4849 NE 138TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97230-3401
Country : US
Telephone Number : 503-256-7940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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