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NPI 1245019298

IndividualActive

Sounthala Chandravongsri

NPI 1245019298 · Driver · Portland, OR

Provider details

NPI number: 1245019298
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

4784 N Lombard St Ste B

Portland, OR 97203-4565

Phone: (971) 200-1668

More OR providers

Mailing address

4784 N Lombard St Ste B

Portland, OR 97203-4565

Registry dates

Enumerated: 2023-09-27
Last updated: 2023-09-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Sounthala Chandravongsri — NPI 1245019298, Portland, OR | NPI Central