Kenneth Ngo
Optometrist in Salem, OR. Individual provider (NPI-1).
NPI number1831986124
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1831986124
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Ngo
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2025
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4843AT | OR | Yes |
Practice location
990 Broadway St NeSalem, OR 97301-1421
Phone 503-364-0767 · Fax 503-581-8340
Mailing address
990 Broadway St NeSalem, OR 97301-1421
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