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Individual

DR. VIENGKEO T NOIMANY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
18231 SIENA DR, LAKE OSWEGO, OR 97034-3263
(503) 702-3803
Mailing address
18231 SIENA DR, LAKE OSWEGO, OR 97034-3263
(503) 702-3803

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP153670
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005897
PA

Other

Enumeration date
04/18/2006
Last updated
09/29/2016
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