Individual
MIKE (HUY) MINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1525
(503) 674-1650
Mailing address
4831 SE ANKENY ST, PORTLAND, OR 97215-1137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 0014864
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0014864
OR
Other
Enumeration date
08/14/2015
Last updated
03/01/2016
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