Individual
ALAN KANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9775 SW GEMINI DR, BEAVERTON, OR 97008-7148
(866) 202-4015
(866) 877-2370
Mailing address
PO BOX 1020, BEAVERTON, OR 97075-1020
(866) 202-4015
(866) 877-2370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9118
OR
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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