Individual
MRS. VAN KHANH NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
3387 SE TEAL DR, GRESHAM, OR 97080-8070
(503) 916-9702
Mailing address
3387 SE TEAL DR, GRESHAM, OR 97080-8070
(503) 916-9702
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213114
—
OR
Enumeration date
11/02/2006
Last updated
07/09/2007
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