Individual
PETER HRISTOS KOUKOUMANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
23500 NE SANDY BLVD, WOOD VILLAGE, OR 97060-9653
(503) 667-1709
Mailing address
23500 NE SANDY BLVD, WOOD VILLAGE, OR 97060-9653
(503) 667-1709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020711
OR
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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