Individual
THANH QUOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(866) 280-1563
(503) 375-5730
Mailing address
6615 NE GLISAN ST, PORTLAND, OR 97213-5068
(503) 797-6973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9825
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0009825
OR
Other
Enumeration date
06/27/2013
Last updated
07/12/2020
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