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1720489297
TRUNG PHU CHUNG
PORTLAND, OR
NPI
1720489297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA174588)
Enumeration Date
2014-09-15
Last Update Date
2024-03-07
Business Address
TRUNG PHU CHUNG PA-C
4816 NW BETHANY BLVD
PORTLAND, OR 97229-9254
Phone number: 888-227-3312
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Mailing Address
TRUNG PHU CHUNG PA-C
PO BOX 2908
PORTLAND, OR 97208-2908
Phone number: 252-075-1554
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