Individual
JESSICA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
14593 SE THORNAPPLE LN, MILWAUKIE, OR 97267-1979
(971) 276-6456
Mailing address
14593 SE THORNAPPLE LN, MILWAUKIE, OR 97267-1979
(971) 276-6456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH61319933
WA
183500000X
Pharmacist
Primary
RPH-0019108
OR
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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