Individual
MICHAEL TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9700
Mailing address
16030 SW AUDUBON ST UNIT 104, BEAVERTON, OR 97003-2777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016358
OR
390200000X
Student in an Organized Health Care Education/Training Program
IR-60505288
WA
390200000X
Student in an Organized Health Care Education/Training Program
PI-0012054
OR
Other
Enumeration date
06/15/2017
Last updated
01/20/2018
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