Individual
MICHAEL OUANESISOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6850 N LOMBARD ST, PORTLAND, OR 97203-6247
(503) 240-2733
(503) 240-2724
Mailing address
6850 N LOMBARD ST, PORTLAND, OR 97203-6247
(503) 240-2733
(503) 240-2724
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0019528
OR
Other
Enumeration date
07/10/2023
Last updated
07/25/2023
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