Basic Information
Provider Information
NPI: 1265840847
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TZOU
FirstName: HELENA
MiddleName: LIN
NamePrefix: DR.
NameSuffix:  
Credential: OD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 22009
Address2:  
City: PORTLAND
State: OR
PostalCode: 972692009
CountryCode: US
TelephoneNumber: 5035587372
FaxNumber: 5033445140
Practice Location
Address1: 1306 DIVISION ST
Address2:  
City: OREGON CITY
State: OR
PostalCode: 970451523
CountryCode: US
TelephoneNumber: 5036564221
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/28/2014
LastUpdateDate: 02/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152WV0400X3629ATORY Eye and Vision Services ProvidersOptometristVision Therapy

No ID Information.


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