Individual
TAMANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 286-6868
Mailing address
10812 NE FARGO ST, PORTLAND, OR 97220-2717
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8364
OR
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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