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Individual

DR. NGOCCAM THI TRUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6236 NE HALSEY ST, PORTLAND, OR 97213-4718
(503) 284-7746
(503) 287-7364
Mailing address
6236 NE HALSEY ST, PORTLAND, OR 97213-4718
(503) 284-7746
(503) 287-7364

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD13856
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21023-7
OR
Enumeration date
07/05/2006
Last updated
07/08/2007
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