Individual
SUSAN DINH NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2067
Mailing address
15546 SE OGDEN DR, PORTLAND, OR 97236-7863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009889
OR
183500000X
Pharmacist
009889
PR
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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