Thongouthaithip, Viyada
Thongouthaithip, Viyada is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 310 , Portland OR 97225-6630. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Thongouthaithip, Viyada can be contacted via phone (503) 297-8491.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 310
Portland OR 97225-6630
Phone: (503) 297-8491
Fax: (503) 297-8492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD 12967 | Oregon |
Profile Details
| NPI number | 1144254194 |
|---|---|
| LBN Legal business name | Thongouthaithip, Viyada |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jun 2nd, 2008 - about 18 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 | 1144254194 | NPPES |
| Other | 93 0797900 | TAX ID | |
| MEDICAID | 24728-8 | TAX ID |
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