Individual
VIVIAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7541
(503) 571-1022
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7541
(503) 571-1022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011363
OR
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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