Phan, Kevin Gia-Minh

Phan, Kevin Gia-Minh is an individual health care provider with primary practice located at 12000 Se 82Nd Ave Ste 2193 , Happy Valley OR 97086-7746. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phan, Kevin Gia-Minh can be contacted via phone (503) 654-6217.

Contact Information

Primary practice address
12000 Se 82Nd Ave Ste 2193 Happy Valley OR 97086-7746
Phone: (503) 654-6217
Fax: (503) 654-9335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 60964432 Washington
Eye and Vision Services Providers / Optometrist 152W00000X 4708 Oregon

Profile Details

NPI number 1164065959
LBN Legal business name Phan, Kevin Gia-Minh
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2019
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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