Individual
RANI BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19260 SW 65TH AVE STE 270, TUALATIN, OR 97062-5705
(503) 692-9525
(503) 692-8643
Mailing address
19260 SW 65TH AVE STE 270, TUALATIN, OR 97062-5705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217746
OR
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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