Individual
ANGELINE KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3710 SW US VETERANS RD, PORTLAND, OR 97239
(503) 202-8262
Mailing address
3710 SW US VETERANS ROAD, PORTLAND, OR 97239
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87768
CA
Other
Enumeration date
05/15/2019
Last updated
03/11/2025
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