Whalio Doctors

NPI 1487290763

Sydney Kapp, OD

Practitioner Optometrist Clackamas, OR

Practice location

Address
15259 SE 82nd Dr STE 101, Clackamas, OR 97015-6609
Phone
(503) 657-0321
Mailing address
7620 SE Harold St, Portland, OR 97206-5234

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4450ATI (OR)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60970333 (WA)

Registry record

NPI
1487290763
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Nov 2019
Record last updated
21 Nov 2019

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.