Dr. Lily Liu Sam, OD
Optometrist in Tigard, OR. Individual provider (NPI-1).
NPI number1154095370
StatusActive
Last updated in NPPESAug 2, 2021
Details
- NPI
- 1154095370
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lily Liu Sam
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2021
- Certification date
- Aug 2, 2021
- Last updated
- Aug 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4592ATI | OR | Yes |
Practice location
7421 Sw Bridgeport Rd Ste 200Tigard, OR 97224-7707
Phone 866-921-2392
Mailing address
9480 Nw Helvetia RdHillsboro, OR 97124-8542
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