Vayakone Philavanh LDO

NPI 1710094560 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1710094560
Gender Female
Enumeration Date 08/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
19500 SE STARK ST
PORTLAND OR, 97233-5757, US
Phone (503) 669-3995
Fax (503) 669-3956
Business Location
22298 NE FAILING ST
FAIRVIEW OR, 97024-8758, US
Phone (503) 669-3995
Fax (503) 669-3656
Toxanomy
Taxonomy Code 156FX1800X
License State Washington
License Number DO00002172
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According to our database, Mrs. Vayakone Philavanh LDO NPI is 1710094560, taxonomy code is 156FX1800X and license number is DO00002172, license state is located at Washington. Vayakone Philavanh LDO physically located at 19500 Se Stark St, Portland OR, 97233-5757. NPI Number Vayakone Philavanh LDO has the Individual type.

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1710094560 NPI number is provided on an as is basis without warranty of any kind. 1710094560 is maintained by the National Plan & Provider Enumeration System. The contents of Vayakone Philavanh LDO are for informational purposes only.