Individual
KELLI LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4325 SE 82ND AVE, PORTLAND, OR 97266-2919
(503) 775-9603
Mailing address
8981 SE HIGHGATE DR, HAPPY VALLEY, OR 97086-9167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015453
OR
Other
Enumeration date
08/12/2016
Last updated
03/17/2018
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