Individual
DR. SANDY THAO MAI NINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6141
Mailing address
3929 SE 65TH AVE, PORTLAND, OR 97206-3636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016947
OR
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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