Individual
KIAN GHATAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1839 MOLALLA AVE, OREGON CITY, OR 97045-4071
(503) 657-1483
(503) 657-1480
Mailing address
16575 SW PENINSULA CT, BEAVERTON, OR 97006-7968
(503) 839-1077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0015782
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0015782
OR
Other
Enumeration date
12/10/2016
Last updated
04/25/2017
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