Individual
DR. MAI-HONG THY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3800 SE 22ND AVE, MAILSTOP 04002/34K, PORTLAND, OR 97202-2918
(503) 797-7144
(187) 737-6948
Mailing address
3800 SE 22ND AVE, MAILSTOP 04002/34K, PORTLAND, OR 97202-2918
(503) 797-7144
(187) 737-6948
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013258
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0013258
OR
Other
Enumeration date
12/20/2012
Last updated
04/20/2017
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