Individual
THIEN THANH CAT LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
619 NW 6TH AVE FL 7, PORTLAND, OR 97209-3964
(503) 988-9843
(503) 988-4345
Mailing address
7646 SE 109TH AVE, PORTLAND, OR 97266-6352
(503) 453-6469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012884
OR
Other
Enumeration date
11/23/2011
Last updated
07/01/2020
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