SODASAVANH KHAMSOUKTHAVONG

Clinical Nurse Specialist

Active Individual
NPI: 1508212283

Practice Address

501 N GRAHAM ST STE 220
Portland, OR 97227

Phone: (503) 413-4710

Specialties

Specialty Code Primary License
Clinical Nurse Specialist 364S00000X Yes 200570006CNS (OR)

Frequently Asked Questions

NPI 1508212283 is the National Provider Identifier for SODASAVANH KHAMSOUKTHAVONG, a Clinical Nurse Specialist provider located in Portland, OR. This NPI was enumerated on May 11, 2016.
SODASAVANH KHAMSOUKTHAVONG practices at 501 N GRAHAM ST STE 220, Portland, OR 97227.

Quick Facts

NPI
1508212283
Type
Individual
Enumerated
May 11, 2016
Last Updated
Dec 21, 2018

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