Individual
DR. HANG D PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 HILYARD ST, STE 230, EUGENE, OR 97401-8122
(458) 205-6016
Mailing address
2751 SHADOW VIEW DR, #430, EUGENE, OR 97408-4640
(316) 516-6203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD167505
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671881
—
OR
01
—
R176715
MEDICARE PTAN
OR
Enumeration date
07/04/2011
Last updated
08/12/2015
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