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Individual

TUAN NGOC PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16390 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4262
(503) 636-5697
Mailing address
20636 SW GRACIE ST, BEAVERTON, OR 97006-1602
(503) 867-9454

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RHP-0018164
OR

Other

Enumeration date
11/14/2020
Last updated
11/14/2020
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