Individual
DR. THO TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8035 SE HOLGATE BLVD, PORTLAND, OR 97206-3369
(503) 267-2723
(503) 974-2814
Mailing address
8035 SE HOLGATE BLVD, PORTLAND, OR 97206-3369
(503) 267-2723
(425) 814-7395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH60511050
WA
111NR0400X
Rehabilitation Chiropractor
Primary
5964
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5964
—
OR
01
—
CH60511050
CHIROPRACTIC LICENSE
WA
Enumeration date
11/13/2014
Last updated
10/27/2020
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