Individual
DR. PETER DUY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
17200 NW CORRIDOR CT STE 108, BEAVERTON, OR 97006-3295
(503) 292-9252
Mailing address
9900 SW HALL BLVD, STE 100, TIGARD, OR 97223-5838
(503) 245-2420
(503) 245-2445
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
T52-2014
TX
Other
Enumeration date
06/23/2014
Last updated
12/18/2018
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