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General NPI Number Information
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NPI Number | 1639502032
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Entity Type | Individual
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Provider Name | OANH MY NGO RPH
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 2440 SE CESAR E CHAVEZ BLVD
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City | PORTLAND
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State | OR
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Zip | 97214-5920
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Country | US
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Telephone | 503-238-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 15418 NE ANDRA PL
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City | PORTLAND
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State | OR
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Zip | 97230-4426
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Country | US
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Telephone | 503-705-2863
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10076
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License Number State | OR
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