Individual
DR. ANTHONY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP01695
RI
207RH0003X
Hematology & Oncology Physician
57041
MN
207RH0003X
Hematology & Oncology Physician
Primary
MD176450
OR
Other
Enumeration date
06/25/2009
Last updated
05/16/2024
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