Individual
JOEL KEN NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7555 SW BARBUR BLVD, PORTLAND, OR 97219-3090
(503) 452-3033
(503) 452-3027
Mailing address
7555 SW BARBUR BLVD, PORTLAND, OR 97219-3090
(503) 452-3033
(503) 452-3027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015651
OR
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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