Individual
PHUONG LINH NGOC LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 NE DIVISION ST, GRESHAM, OR 97030-4270
(503) 492-7279
Mailing address
1001 SW HIGHLAND DR, GRESHAM, OR 97080-6354
(503) 667-9305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020803
OR
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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