Individual
MISS TRAM HUYEN THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11611 NE AINSWORTH CIR, PORTLAND, OR 97220-9017
(503) 255-1841
Mailing address
4203 SW TEGART LN, GRESHAM, OR 97080-8653
(503) 432-9475
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201810036RN
OR
164W00000X
Licensed Practical Nurse
Primary
201502698LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201502698LPN
N/A
OR
Enumeration date
10/13/2017
Last updated
01/27/2026
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