Individual
PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
(800) 330-3665
Mailing address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0011203
OR
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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