Individual
BRYAN PAUL ING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7588
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH-3267
HI
183500000X
Pharmacist
Primary
RPH-0011383
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11383
OR
1835P1200X
Pharmacotherapy Pharmacist
PH60205670
WA
Other
Enumeration date
08/27/2008
Last updated
10/01/2016
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