Individual
DIANE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
(714) 204-9190
Mailing address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
(714) 204-9190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0013429
OR
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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