Mr. Sounthala Chandravongsri
Mr. Sounthala Chandravongsri is a Driver in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4784 N Lombard St Ste BPortland, OR 97203-4565
Phone: (971) 200-1668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1245019298 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2023 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
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