Individual
EDWARD NGUYEN KHOI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
3535 SW 173RD AVE, BEAVERTON, OR 97003-4525
(503) 805-1137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60660128
WA
183500000X
Pharmacist
Primary
RPH-0015800
OR
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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