Individual
THERESA HUONG TUYET THI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, KPV 13, PORTLAND, OR 97239-3011
(503) 494-6346
Mailing address
3181 SW SAM JACKSON PARK RD, KPV 13, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
39120
OR
Other
Enumeration date
09/13/2006
Last updated
07/16/2012
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