Individual
HUNG THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
(503) 413-6412
Mailing address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A85913
CA
207W00000X
Ophthalmology Physician
Primary
MD27236
OR
Other
Enumeration date
03/05/2007
Last updated
11/01/2021
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