Individual
BACHTUYET LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OMS
Contact information
Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 259-0200
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO200504
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2014
Last updated
03/11/2026
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