Individual
HOANG LAN PHUONG VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SE 8TH AVE, HILLSBORO, OR 97123-4216
(503) 352-6151
Mailing address
17286 NW OAK CREEK DR, PORTLAND, OR 97229-7014
(360) 550-1243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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