CHARLES BONG O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1649690314- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 1201 SE 223RD AVE STE 160, GRESHAM, OR, 970302577
- Phone
- (503) 492-2020
Specialties & Taxonomies
Optometrist
License: NJ #27OA00651800
Optometrist
Primary License: OR #AT4555
All Addresses
MAILING
12822 SE 157TH AVE UNIT 202
HAPPY VALLEY, OR, 970864333