Individual
ANTHONY TRUNG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7800
Mailing address
16199 BOONES FERRY RD, LAKE GROVE, OR 97035-4201
(503) 635-6630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011793
OR
183500000X
Pharmacist
RPH-0011793
OR
Other
Enumeration date
08/29/2012
Last updated
03/04/2024
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