Khamsoukthavong, Sodasavanh Joy

Khamsoukthavong, Sodasavanh Joy is an individual health care provider with primary practice located at 501 N Graham St Ste 220 , Portland OR 97227-2014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Khamsoukthavong, Sodasavanh Joy can be contacted via phone (503) 413-4710.

Contact Information

Primary practice address
501 N Graham St Ste 220 Portland OR 97227-2014
Phone: (503) 413-4710
Fax: (503) 413-7148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 200570006CNS Oregon

Profile Details

NPI number 1508212283
LBN Legal business name Khamsoukthavong, Sodasavanh Joy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Dec 21st, 2018 - about 6 years ago

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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