Individual
MARTIN M. K. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(888) 807-5759
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0011179
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
11179
OR
Other
Enumeration date
02/05/2008
Last updated
01/25/2024
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