Provider Demographics
NPI:1336413202
Name:DUONG, THUY T (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:THUY
Middle Name:T
Last Name:DUONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 SE 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-3603
Mailing Address - Country:US
Mailing Address - Phone:503-788-2033
Mailing Address - Fax:503-788-2027
Practice Address - Street 1:8955 SE 82ND AVE
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-3603
Practice Address - Country:US
Practice Address - Phone:503-788-2033
Practice Address - Fax:503-788-2027
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10915183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist