Individual
JON JAMES WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
123 NE 172ND AVE APT 217, PORTLAND, OR 97230-6465
(971) 225-0183
Mailing address
123 NE 172ND AVE APT 217, PORTLAND, OR 97230-6465
(971) 225-0183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00046153
WA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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