Dr. Viyada Thongouthaithip, MD - Portland, OR

Dr. Viyada Thongouthaithip, MD

Specialist in Portland, Oregon

NPI 1144254194

Viyada Thongouthaithip is a Specialist based in Portland, OR. Viyada Thongouthaithip practices in Portland, OR and has the professional credentials of MD. The NPI Number for Viyada Thongouthaithip is 1144254194 and holds a License No. MD 12967 (Oregon).

The current practice location address for Viyada Thongouthaithip is 9155 Sw Barnes Rd Ste 310, Portland, OR and can be reached out via phone at 503-297-8491 and via fax at 503-297-8492.

Location: 9155 Sw Barnes Rd Ste 310, Portland, OR, 97225-6630

NPI Number

1144254194

Provider Name

Viyada Thongouthaithip

Credential

Provider Entity Type

Individual

Gender

Female

Address

9155 Sw Barnes Rd Ste 310, Portland, OR, 97225-6630

Phone Number

503-297-8491

Fax Number

503-297-8492

Provider Enumeration Date

07/10/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
93 0797900	01		TAX ID
24728-8	05	OR

Address

9155 Sw Barnes Rd Ste 310

City

Portland

State

Oregon

Zip

97225-6630

Phone Number

503-297-8491

Fax Number

503-297-8492

Address

9155 Sw Barnes Rd Ste 310

City

Portland

State

Oregon

Zip

97225-6630

Phone Number

503-297-8491

Fax Number

503-297-8492

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

MD 12967 (Oregon)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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