Individual
MICHAEL HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2875 NW STUCKI AVENUE/, HILLSBORO, OR 97124
(866) 280-0511
Mailing address
9262 SW SOPRANO LN, PORTLAND, OR 97225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-001333
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
001333
OR
Other
Enumeration date
09/22/2016
Last updated
10/13/2016
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