Healthcare Provider Details

I. General information

NPI: 1083437552
Provider Name (Legal Business Name): THE-HOANG LUU RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LUCY LUU

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51501 COLUMBIA RIVER HWY
SCAPPOOSE OR
97056-4539
US

IV. Provider business mailing address

3004 NE 102ND AVE
PORTLAND OR
97220-2810
US

V. Phone/Fax

Practice location:
  • Phone: 503-453-5554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0020327
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0020327
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: