Individual
NHAT QUANG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
24988 SE STARK ST STE 140, GRESHAM, OR 97030-8326
(971) 262-9500
Mailing address
4988 S.E. STARK STREET 140, GRESHAM, OR 97030
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
202101677NP-PP
OR
Other
Enumeration date
03/24/2021
Last updated
03/28/2021
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