Individual
TRI BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2440 SE 39TH AVENUE, PORTLAND, OR 97214
(503) 234-9408
Mailing address
2403 SW PHYLLIS DR, GRESHAM, OR 97080-6317
(503) 799-4168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14550
OR
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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