Individual
CARMEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
835 S HIGHWAY 395, HERMISTON, OR 97838-2620
(541) 567-7805
Mailing address
14803 SE MARCI WAY, CLACKAMAS, OR 97015-8457
(503) 964-3319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61036913
WA
183500000X
Pharmacist
RPH-0017757
OR
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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