Individual
HAO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11895 SW GREENBURG RD, TIGARD, OR 97223
(503) 726-3740
Mailing address
2179 SE NORDLUND CT, HILLSBORO, OR 97123-6167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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