Individual
JACKY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1821 NE 33RD AVE, PORTLAND, OR 97212-5113
(503) 535-6031
Mailing address
1430 NW HOYT ST APT 807, PORTLAND, OR 97209-2284
(608) 346-6858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019953
OR
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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