Individual
THUYTRANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
(503) 626-9436
Mailing address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60152165
WA
Other
Enumeration date
10/30/2010
Last updated
08/24/2016
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