Individual
MISS HACHAU C PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10045348
OR
363LA2100X
Acute Care Nurse Practitioner
AP136895
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
10045348
OR
Other
Enumeration date
08/21/2018
Last updated
12/30/2025
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