Individual
KOFI GYAN ASANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
315 SW 5TH AVE, PORTLAND, OR 97204-1753
(503) 416-5817
Mailing address
1955 SW 5TH AVE APT 309B, PORTLAND, OR 97201-5280
(518) 330-2340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72318
CA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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