SUPHAPHON WENDY PHANTHADETH-AGUINALDO

PORTLAND, OR
NPI1841768363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201807517RN)
Enumeration Date2018-11-02
Last Update Date2018-11-02
Business Address
SUPHAPHON WENDY PHANTHADETH-AGUINALDO RN
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211-3237
Phone number: 503-988-5558
Mailing Address
SUPHAPHON WENDY PHANTHADETH-AGUINALDO RN
15827 SE BASALT CT
DAMASCUS, OR 97089-8299
Phone number: 503-380-5811
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