Individual
NAM LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA.0022586
CO
183500000X
Pharmacist
Primary
RPH-0016745
OR
Other
Enumeration date
04/17/2020
Last updated
02/27/2026
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