Individual
TINA TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-8L, PORTLAND, OR 97239-3011
(503) 494-1842
(503) 418-4079
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1842
(503) 418-5055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201403013RN
OR
163WC0400X
Case Management Registered Nurse
201403013RN
OR
163WC1500X
Community Health Registered Nurse
201403013RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202208005NP-PP
OR
Other
Enumeration date
04/24/2019
Last updated
09/06/2022
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