Individual
KHANH MAI NGOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19129 BEAVERCREEK RD, OREGON CITY, OR 97045-9539
(503) 305-5051
Mailing address
19129 BEAVERCREEK RD, OREGON CITY, OR 97045-9539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11524
OR
Other
Enumeration date
08/30/2021
Last updated
05/09/2022
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