Individual
STEPHANIE VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20685 SW ROY ROGERS RD, SHERWOOD, OR 97140
(503) 625-4766
(503) 625-4768
Mailing address
20685 SW ROY ROGERS RD, SHERWOOD, OR 97140-9278
(503) 625-4766
(503) 625-4768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011366
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
00113666
OR
Other
Enumeration date
11/09/2010
Last updated
02/21/2017
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