Individual
ANIK VASUDEV AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
939 SW MORRISON ST, PORTLAND, OR 97205-2727
(503) 290-5362
(503) 290-5372
Mailing address
923 SE 13TH AVE, APT 1, PORTLAND, OR 97214-2554
(248) 835-6448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014847
OR
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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