Individual
NGOC QUE TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
14555 SW TEAL BLVD, BEAVERTON, OR 97007-6193
(503) 590-9756
(503) 590-6301
Mailing address
17779 LOWER BOONES FERRY RD, LAKE OSWEGO, OR 97035-5237
(503) 675-2509
(503) 675-2512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10169
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
10169
OR
Other
Enumeration date
10/27/2011
Last updated
02/22/2016
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