Individual
THUY-TIEN VO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR 97223-3396
(503) 216-9200
(503) 216-9220
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD173650
OR
207R00000X
Internal Medicine Physician
PG158618
OR
Other
Enumeration date
06/04/2012
Last updated
01/19/2021
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