Pham, Victor Nguyen
Pham, Victor Nguyen is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pham, Victor Nguyen can be contacted via phone (503) 216-2906.Contact Information
Primary practice address
9205 Sw Barnes Rd
Portland OR 97225-6603
Phone: (503) 216-2906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125-057211 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD157726 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD157726 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 58475 | Arizona |
Profile Details
| NPI number | 1003045709 |
|---|---|
| LBN Legal business name | Pham, Victor Nguyen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Jul 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003045709 | NPPES |
| Arizona | Other | 58475 | AZ LICENSE |
| Arizona | Other | P01701362 | AZ LICENSE |
| Arizona | MEDICAID | 500647926 | AZ LICENSE |
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