Chandravongsri, Sounthala

Chandravongsri, Sounthala is an individual health care provider with primary practice located at 4784 N Lombard St Ste B , Portland OR 97203-4565. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Chandravongsri, Sounthala can be contacted via phone (971) 200-1668.

Contact Information

Primary practice address
4784 N Lombard St Ste B Portland OR 97203-4565
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1245019298
LBN Legal business name Chandravongsri, Sounthala
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2023
Last updated Sep 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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