Provider Demographics
NPI:1598316010
Name:DO, DIEM-CHAU H (RPH)
Entity Type:Individual
Prefix:
First Name:DIEM-CHAU
Middle Name:H
Last Name:DO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16190 SW GOSHAWK ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-7228
Mailing Address - Country:US
Mailing Address - Phone:503-998-7492
Mailing Address - Fax:
Practice Address - Street 1:8300 SW CREEKSIDE PL STE 100
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-8179
Practice Address - Country:US
Practice Address - Phone:503-346-3370
Practice Address - Fax:503-346-3371
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0009669P183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist