Individual
DR. KIMTHUY TUAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1809 MAPLE ST, FOREST GROVE, OR 97116
(503) 357-2172
Mailing address
13010 SW KATHERINE ST, TIGARD, OR 97223
(502) 445-5586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD151579
OR
207P00000X
Emergency Medicine Physician
MT191180
PA
Other
Enumeration date
12/27/2007
Last updated
08/19/2010
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