Individual
KHOA DANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 990-1199
(360) 604-1604
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 397-1985
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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