Individual
JESSIE KHA TRIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19875 SW 65TH AVE STE 100, TUALATIN, OR 97062-8353
(503) 692-7785
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A123561
CA
207R00000X
Internal Medicine Physician
Primary
MD190504
OR
Other
Enumeration date
11/08/2012
Last updated
04/13/2024
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