Individual
LISA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8515 SW TUALATIN SHERWOOD RD, TUALATIN, OR 97062-7583
(503) 691-8650
Mailing address
8515 SW TUALATIN SHERWOOD RD, TUALATIN, OR 97062-7583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7607
OR
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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