Individual
TUYET LAM GWARDYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 SW 5TH AVE, PORTLAND, OR 97204-3604
(480) 235-5180
Mailing address
111 SW 5TH AVE, PORTLAND, OR 97204-3604
(480) 235-5180
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10018844
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
299235
AZ
Other
Enumeration date
11/29/2023
Last updated
01/02/2024
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