Individual
RYAN SCOTT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 656-1461
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI-0011927
OR
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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