Individual
SABEEKA BANO HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12575 SW WALKER RD, BEAVERTON, OR 97005-1306
(503) 656-2423
Mailing address
17261 SW WHITLEY WAY, BEAVERTON, OR 97006-8152
(503) 422-9231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0011681
OR
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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