Individual
NHU-MAI THI HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2319 SE 89TH AVE, PORTLAND, OR 97216-2015
(503) 896-4154
Mailing address
2319 SE 89TH AVE, PORTLAND, OR 97216-2015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013703
OR
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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