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Individual

THANHLONG DUC PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8106 NE WASCO ST, PORTLAND, OR 97213-6737
(503) 255-8258
(503) 252-1668
Mailing address
8106 NE WASCO ST, PORTLAND, OR 97213-6737
(503) 255-8258
(503) 252-1668

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28383
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
241669
OR
Enumeration date
06/11/2008
Last updated
01/20/2026
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