Individual
TIEN THUY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9700
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019556
OR
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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