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Individual

DR. NATHAN D MAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-7069
Mailing address
4441 SE NEHALEM ST, PORTLAND, OR 97206-0951
(503) 750-7483

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012215
OR

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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