Individual
QUE PHUNG THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 HAWORTH AVE, NEWBERG, OR 97132-2000
(503) 538-0691
Mailing address
13353 SW ANGUS CT, TIGARD, OR 97224-1860
(503) 954-6777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0012624
OR
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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