Individual
THUY LIEN KABZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9106 NE HIGHWAY 99, H, VANCOUVER, WA 98665-8971
(503) 419-7602
Mailing address
11835 NE STANTON ST, PORTLAND, OR 97220-1764
(503) 419-7602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00025395
WA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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