Individual
TIEN MY THI NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1821 NE 33RD AVE, PORTLAND, OR 97212-5113
(503) 535-6031
Mailing address
1821 NE 33RD AVE, PORTLAND, OR 97212-5113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019191
OR
Other
Enumeration date
09/16/2022
Last updated
09/28/2022
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