Individual
LINH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6107 SE HAROLD ST, PORTLAND, OR 97206-5430
(971) 322-9421
Mailing address
6107 SE HAROLD ST, PORTLAND, OR 97206-5430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201042726RN
OR
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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