Provider Demographics
NPI:1518067388
Name:BUI, LAM T (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:LAM
Middle Name:T
Last Name:BUI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5681 NW 203RD PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-7185
Mailing Address - Country:US
Mailing Address - Phone:206-427-9404
Mailing Address - Fax:
Practice Address - Street 1:5681 NW 203RD PL
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-7185
Practice Address - Country:US
Practice Address - Phone:206-427-9404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00052424282NW0100X
ORRPH-11511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORRPH-11511OtherLICENSE REGISTRATION