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Individual

DA-ANH DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
5660 COMMERCIAL ST SE, SALEM, OR 97306-1215
(503) 364-1520
(503) 391-9302
Mailing address
6117 QUAIL HOLLOW ST SE, SALEM, OR 97306-8592
(503) 375-7659

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8657
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
8657
OR

Other

Enumeration date
11/01/2010
Last updated
12/24/2015
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