Provider Demographics
NPI:1215209002
Name:DO, VU NGUYEN (RPH)
Entity Type:Individual
Prefix:
First Name:VU
Middle Name:NGUYEN
Last Name:DO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 SW DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8401
Mailing Address - Country:US
Mailing Address - Phone:503-639-0722
Mailing Address - Fax:503-639-4970
Practice Address - Street 1:7850 SW DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8401
Practice Address - Country:US
Practice Address - Phone:503-639-0722
Practice Address - Fax:503-639-4970
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-10649183500000X
ORRPH-00106491835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist