Healthcare Provider Details

I. General information

NPI: 1336441138
Provider Name (Legal Business Name): LAM THUY KIEU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11325 SE MILL PLAIN BLVD
VANCOUVER WA
98684-5099
US

IV. Provider business mailing address

11325 SE MILL PLAIN BLVD
VANCOUVER WA
98684-5099
US

V. Phone/Fax

Practice location:
  • Phone: 360-253-7086
  • Fax: 360-253-7083
Mailing address:
  • Phone: 360-253-7086
  • Fax: 360-253-7083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11842
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number61469730
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number11842
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: