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Individual

HUY TIEN HOANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9800 SE WASHINGTON ST, PORTLAND, OR 97216-2420
(503) 252-5850
Mailing address
8612 NE CLACKAMAS ST, PORTLAND, OR 97220-5639
(503) 757-6258

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
IR 60148871
WA
183500000X
Pharmacist
Primary
PI-0010983
OR

Other

Enumeration date
10/01/2014
Last updated
10/01/2014
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