Individual
MR. ANDREW TOAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4445 SW BARBUR BLVD STE 104, PORTLAND, OR 97239-4047
(503) 226-0796
Mailing address
15725 SE UPMAN WAY, DAMASCUS, OR 97089-6851
(503) 764-7042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14097
OR
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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