Individual
DR. TIMOTHY Q PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7240 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 308-9428
Mailing address
7240 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 308-9428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5028
OR
Other
Enumeration date
01/09/2012
Last updated
01/21/2015
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