Individual
MING HOM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SE LAKE RD STE 250, MILWAUKIE, OR 97222-2129
(541) 900-4285
Mailing address
6400 SE LAKE RD STE 250, MILWAUKIE, OR 97222-2129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R9485
OR
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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