Individual
PHUONG TUYET THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
7070 NE SANDY BLVD, PORTLAND, OR 97213-5278
(503) 484-1328
Mailing address
7070 NE SANDY BLVD, PORTLAND, OR 97213-5278
(503) 484-1328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9836
OR
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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