Individual
MY CHUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(800) 813-2000
Mailing address
10151 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-6913
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101260612
VA
Other
Enumeration date
04/16/2014
Last updated
02/04/2022
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