Individual provider · Type 1 NPI

Sounthala Chandravongsri

Driver · Portland, OR

NPI number 1245019298 Active

Practice location

4784 N Lombard St Ste B
Portland, OR 97203-4565

Call (971) 200-1668 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1245019298

Sounthala Chandravongsri's National Provider Identifier is 1245019298, issued on Sep 27, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Portland, OR. The record was last updated on Sep 27, 2023.