Individual
TAM HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
421 SW OAK ST., STE. 210, PORTLAND, OR 97204
(503) 988-3674
(503) 988-3015
Mailing address
421 SW OAK ST., STE. 210, PORTLAND, OR 97204
(503) 988-3674
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60232856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
08/31/2012
Last updated
11/21/2013
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