Individual
THANH HIEN THI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1040 NW 22ND AVE STE 420, PORTLAND, OR 97210-3062
(503) 406-3809
Mailing address
1040 NW 22ND AVE STE 420, PORTLAND, OR 97210-3062
(503) 406-3809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013698
OR
183500000X
Pharmacist
051299275
IL
183500000X
Pharmacist
1-105105
KS
183500000X
Pharmacist
15203
NE
183500000X
Pharmacist
19109
AL
183500000X
Pharmacist
5302044409
MI
183500000X
Pharmacist
58312
TX
183500000X
Pharmacist
A1-0004894
DE
183500000X
Pharmacist
P7416
ID
183500000X
Pharmacist
PD14044
AR
183500000X
Pharmacist
PH-3984
HI
183500000X
Pharmacist
PH0323
GU
183500000X
Pharmacist
PH236427
MA
183500000X
Pharmacist
R-16582
OK
Other
Enumeration date
08/16/2013
Last updated
03/03/2020
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