Individual
HOA TRONG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 994-3661
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10840
NV
207R00000X
Internal Medicine Physician
Primary
MD217014
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502899
—
NV
Enumeration date
02/15/2006
Last updated
10/17/2023
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