Individual
MINH-PHONG ANDREW NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SE UGLOW AVE, DALLAS, OR 97338-2645
(503) 323-8376
(503) 623-8376
Mailing address
PO BOX 14001, SALEM, OR 97309-5014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD213024
OR
Other
Enumeration date
04/03/2019
Last updated
04/11/2023
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