Individual
THAI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-8755
(503) 788-6464
Mailing address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-8755
(503) 788-6464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017441
OR
Other
Enumeration date
12/18/2019
Last updated
06/22/2023
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