MR. SOUNTHALA CHANDRAVONGSRI
Driver
Active
Individual
NPI: 1245019298
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | - |
Frequently Asked Questions
NPI 1245019298 is the National Provider Identifier for MR. SOUNTHALA CHANDRAVONGSRI, a Driver provider located in Portland, OR. This NPI was enumerated on September 27, 2023.
MR. SOUNTHALA CHANDRAVONGSRI practices at 4784 N LOMBARD ST STE B, Portland, OR 97203.
Quick Facts
- NPI
- 1245019298
- Type
- Individual
- Enumerated
- Sep 27, 2023
- Last Updated
- Sep 27, 2023
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