person
Thien-huong Theresa Van, PA
Medical Physician Assistant in Roseburg, Oregon
NPI 1164072286

Thien-huong Theresa Van is a Medical Physician Assistant based in Roseburg, OR and is specialized in Medical. Thien-huong Theresa Van practices in Roseburg, OR and has the professional credentials of PA. The NPI Number for Thien-huong Theresa Van is 1164072286 and holds a License No. PA202904 (Oregon).

The current practice location address for Thien-huong Theresa Van is 3031 Ne Stephens St, Roseburg, OR and can be reached out via phone at 541-229-7038 and via fax at 541-464-4474.

Location: 3031 Ne Stephens St, Roseburg, OR, 97470-6237
person
Provider Profile Details
NPI Number
1164072286
Provider Name
Thien-huong Theresa Van
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3031 Ne Stephens St, Roseburg, OR, 97470-6237
Phone Number
541-229-7038
Fax Number
541-464-4474
Provider Enumeration Date
09/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500791146 05 OR
institution
Provider Business Practice Location Address Details
Address
3031 Ne Stephens St
City
State
Zip
97470-6237
Phone Number
541-229-7038
Fax Number
541-464-4474
person
Provider Business Mailing Address Details
Address
3031 Ne Stephens St
City
State
Zip
97470-6237
Phone Number
541-229-7038
Fax Number
541-464-4474
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA202904 (Oregon)
Definition
Definition to come...
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