| M. Kwon. P.c., Inc. | |
|
1260 Lloyd Ctr, Portland, OR 97232-1301 | |
| (503) 331-3984 | |
| Not Available |
| Full Name | M. Kwon. P.c., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1260 Lloyd Ctr, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770727059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2764AT (Oregon) | Primary |
| Provider Name | Marielle R Kwon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417996976 PECOS PAC ID: 6800826595 Enrollment ID: I20100112000432 |
| Provider Name | Boram Chung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437389111 PECOS PAC ID: 1254474703 Enrollment ID: I20100205000050 |
| Provider Name | Carole Tong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811472749 PECOS PAC ID: 8527496579 Enrollment ID: I20200325001749 |
| Provider Name | Haley Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104483833 PECOS PAC ID: 2769805688 Enrollment ID: I20200710002722 |
| Mailing Address | Practice Location Address |
|---|---|
| M. Kwon. P.c., Inc. 2512 Nw 12th Cir, Camas, WA 98607-8886 Ph: (509) 994-6264 | M. Kwon. P.c., Inc. 1260 Lloyd Ctr, Portland, OR 97232-1301 Ph: (503) 331-3984 |
Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788 | |
Steven J. Clouse, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574 | |
Hendrix & Mcguire Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694 | |
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442 | |
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012 | |
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488 | |
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482 |