Individual
AUDREY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 813-2000
Mailing address
4611 SE SALMON ST, PORTLAND, OR 97215-2541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016765
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2015
Last updated
11/27/2023
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