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Individual

DR. NHAT PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11603 STATE AVE STE G, MARYSVILLE, WA 98271-8465
(360) 658-6800
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 658-6800
(360) 658-6819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101024070
MI
207Q00000X
Family Medicine Physician
Primary
OP61194203
WA

Other

Enumeration date
06/26/2018
Last updated
01/09/2023
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