PHONEVILAY HEUANGSACKDA

PORTLAND, OR
NPI1093114407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-08-21
Last Update Date2014-08-21
Business Address
-- PHONEVILAY HEUANGSACKDA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
Mailing Address
-- PHONEVILAY HEUANGSACKDA
1232 NE 194TH CT
PORTLAND, OR 97230
Phone number: 503-841-9869
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