Individual
DIANA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25699 SE STARK ST, TROUTDALE, OR 97060-3305
(503) 665-9766
Mailing address
25699 SE STARK ST, TROUTDALE, OR 97060-3305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013325
OR
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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