Individual
DR. KHOA VAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
(971) 206-5205
(503) 652-0383
Mailing address
12611 SE CORA ST, PORTLAND, OR 97236-3782
(503) 913-1089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016275
OR
Other
Enumeration date
06/28/2014
Last updated
12/22/2020
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