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Individual

MS. THAO MINHPHOUNG CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
8931 SE FOSTER RD, PORTLAND, OR 97266-4661
(855) 433-6825
(503) 774-2705
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124
(360) 254-5254
(360) 944-3835

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8062
OR
1223G0001X
General Practice Dentistry
DE00009778
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5047964
WA
Enumeration date
09/12/2006
Last updated
10/23/2018
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