Individual
KHANH THI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7 MOUNTAIN VIEW LN, LAKE OSWEGO, OR 97035-1220
(503) 330-7949
Mailing address
7 MOUNTAIN VIEW LN, LAKE OSWEGO, OR 97035-1220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0010215
OR
183500000X
Pharmacist
Primary
26020322A
IN
183500000X
Pharmacist
PH00063833
WA
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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