Individual
ROSA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201808243NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP60969825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138884
—
WA
Enumeration date
05/28/2019
Last updated
11/05/2020
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