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NPI Code Detail

MEDICARE: TRINH LE-KHA RPH

MEDICARE: TRINH LE-KHA RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist8782OR

General Provider Information

NPI Number : 1124468715
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINH LE-KHA RPH
Provider Business Mailing Address
First Line : 22002 NE FAILING ST
Second Line :
City : FAIRVIEW
State : OR
Zip : 97024-8758
Country : US
Telephone Number : 503-328-9332
Fax Number :
Provider Business Practice Location Address
First Line : 22855 NE PARK LN
Second Line :
City : WOOD VILLAGE
State : OR
Zip : 97060-2606
Country : US
Telephone Number : 503-492-5033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 06/27/2013

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Directions to “ TRINH LE-KHA RPH” Practice Location

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