Individual
HANIFA HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9855 SW CAPITOL HWY, PORTLAND, OR 97219-6878
(503) 245-4690
Mailing address
9855 SW CAPITOL HWY, PORTLAND, OR 97219-6878
(503) 245-4690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020376
OR
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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