Individual
LINDA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
21400 S SALAMO RD, WEST LINN, OR 97068-7201
(503) 650-2487
Mailing address
21400 S SALAMO RD, WEST LINN, OR 97068-7201
(503) 650-2487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12991
OR
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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