Individual
JI EUN HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9695
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013771
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
13771
OR
Other
Enumeration date
12/29/2013
Last updated
12/25/2015
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