Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H3539 | OR |
NPI | 1003994344 |
---|---|
Provider Name | Ms. Nga Yen Le |
First Address | Beaverton, OR 97006-7392 |
Second Address | Portland, OR 97204-1817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 19/10/2015 |