Individual
ISABEL KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 277-2815
(503) 626-4419
Mailing address
7320 SW 154TH TER, BEAVERTON, OR 97007-6843
(971) 404-6922
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9809
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
9809
OR
Other
Enumeration date
11/01/2016
Last updated
12/23/2016
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