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Individual

DR. BICHSON PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A9931
CA
207Q00000X
Family Medicine Physician
Primary
DO158333
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17522056
NM
01
8HN083
PROVIDER MEDICARE #
NM
01
HSZ196
MEDICARE PART B
NM
05
K3526
NM
Enumeration date
05/12/2008
Last updated
04/16/2026
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