Provider Demographics
NPI:1124468715
Name:LE-KHA, TRINH (RPH)
Entity type:Individual
Prefix:
First Name:TRINH
Middle Name:
Last Name:LE-KHA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22002 NE FAILING ST
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:OR
Mailing Address - Zip Code:97024-8758
Mailing Address - Country:US
Mailing Address - Phone:503-328-9332
Mailing Address - Fax:
Practice Address - Street 1:22855 NE PARK LN
Practice Address - Street 2:
Practice Address - City:WOOD VILLAGE
Practice Address - State:OR
Practice Address - Zip Code:97060-2606
Practice Address - Country:US
Practice Address - Phone:503-492-5033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist