Individual
PRISCILLA PHUC TRAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3300 SE DWYER DR STE 304, PORTLAND, OR 97222-6548
(503) 513-8343
(503) 513-8069
Mailing address
7325 SE 133RD PLACE, PORTLAND, OR 97236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012813
OR
Other
Enumeration date
10/20/2011
Last updated
05/22/2013
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