Individual
CHAU NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
443 NW BURNSIDE RD, GRESHAM, OR 97030-3714
(503) 492-8487
Mailing address
443 NW BURNSIDE RD, GRESHAM, OR 97030-3714
(503) 492-8487
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8377
OR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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