THIEN-HUONG THERESA VAN

ROSEBURG, OR
NPI1164072286
Professional NameTHERESA VAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA202904)
Enumeration Date2019-09-19
Last Update Date2021-06-10
Business Address
THIEN-HUONG THERESA VAN PA
3031 NE STEPHENS ST
ROSEBURG, OR 97470-6237
Phone number: 541-229-7038
Mailing Address
THIEN-HUONG THERESA VAN PA
3031 NE STEPHENS ST
ROSEBURG, OR 97470-6237
Phone number: 541-229-7038
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