Individual
NHAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
(541) 269-7389
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
(541) 269-7389
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO168404
OR
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
02/09/2014
Last updated
06/11/2014
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