Individual
AN HONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12532 SE WOODWARD ST, PORTLAND, OR 97236-3171
(971) 221-0207
Mailing address
12532 SE WOODWARD ST, PORTLAND, OR 97236-3171
(971) 221-0207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013319
OR
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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