Dr. Victor Nguyen Pham, M.D.
Hospitalist in Portland, OR. Individual provider (NPI-1).
NPI number1003045709
StatusActive
Last updated in NPPESJul 11, 2019
Details
- NPI
- 1003045709
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victor Nguyen Pham
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2009
- Last updated
- Jul 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 58475 | AZ | Yes |
| 207R00000X | Internal Medicine | 125-057211 | IL | |
| 207R00000X | Internal Medicine | MD157726 | OR | |
| 208M00000X | Hospitalist | MD157726 | OR |
Practice location
9205 Sw Barnes RdPortland, OR 97225-6603
Phone 503-216-2906
Mailing address
3655 W Anthem Way Ste A109Anthem, AZ 85086-0430
Phone 623-879-5288 · Fax 623-879-1563
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