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Individual

KEVIN M TAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1900 MCLOUGHLIN BLVD STE 22, OREGON CITY, OR 97045-1072
(503) 656-1020
Mailing address
1900 MCLOUGHLIN BLVD STE 22, OREGON CITY, OR 97045-1072

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0012372
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1063707669
OR

Other

Enumeration date
06/13/2011
Last updated
04/28/2017
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