Individual
NHU Y SARAH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7028 SE LAFAYETTE ST, PORTLAND, OR 97206-2536
(503) 290-4994
Mailing address
7028 SE LAFAYETTE ST, PORTLAND, OR 97206-2536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201904594RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797742
—
OR
Enumeration date
06/25/2019
Last updated
06/25/2019
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