Individual
MR. JOHNNY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2090
(503) 261-2040
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2090
(503) 261-2040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013294
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0013294
OR
Other
Enumeration date
09/28/2012
Last updated
12/16/2016
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