Individual
DR. CHRISTINE DA-THAO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12555 NW CORNELL RD, PORTLAND, OR 97229-5683
(503) 495-4157
(971) 266-2950
Mailing address
203 PHARMACY BLDG, CORVALLIS, OR 97331-8537
(541) 737-3424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH61602902
WA
183500000X
Pharmacist
Primary
RPH-0020192
OR
390200000X
Student in an Organized Health Care Education/Training Program
PI-0013899
OR
Other
Enumeration date
05/10/2022
Last updated
10/22/2024
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