Individual
DR. AUSTIN CHANTHAKHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-7725
Mailing address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018072
OR
Other
Enumeration date
09/12/2020
Last updated
12/21/2023
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