Individual
MISS VY PHUONG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6136
(503) 251-6293
Mailing address
1502 SE 117TH AVE, PORTLAND, OR 97216-3929
(503) 317-0590
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD221464
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2019
Last updated
06/26/2024
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