Individual
DIANE WONG YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
740 NE 3RD ST, STE 3 PMB 120, BEND, OR 97701-4700
(818) 237-0038
(541) 317-3404
Mailing address
740 NE 3RD ST, STE 3 PMB 120, BEND, OR 97701-4700
(818) 237-0038
(541) 317-3404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
09119
NV
183500000X
Pharmacist
Primary
RPH10390
OR
183500000X
Pharmacist
RPH39920
CA
Other
Enumeration date
07/08/2012
Last updated
05/18/2015
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