NPI 1205145620

Andrea Renee Kwiecien, OD

Practitioner Optometrist Beaverton, OR

Practice location

Address: 11424 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005
Phone: (503) 643-5590
Fax: (503) 643-2266
Mailing address: 11424 SW Beaverton Hillsdale Hwy C/O Vista Optical, Beaverton, OR 97005

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3420ATI (OR)

Other Optometrist providers in Oregon →

Registry record

NPI: 1205145620
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2010
Record last updated: 14 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.