Individual
VI THI TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 NE BROADWAY ST, PORTLAND, OR 97232-1821
(503) 984-7281
Mailing address
519 DEPOT ST, FAIRVIEW, OR 97024-1974
(503) 984-7281
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8849
OR
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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