Individual
DUSTIN TRUNG KHUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233
(503) 674-4704
Mailing address
11433 SE HIGHLAND LOOP, CLACKAMAS, OR 97015-7232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016332
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0016332
OR
Other
Enumeration date
11/29/2017
Last updated
09/04/2018
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