Individual
JASON KUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13485 NW CORNELL RD, PORTLAND, OR 97229-5819
(503) 350-2086
Mailing address
12887 NW LORRAINE DR, PORTLAND, OR 97229-8371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12142
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0012142
OR
Other
Enumeration date
10/25/2010
Last updated
02/22/2016
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