Individual
MS. TERESA KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
8330 N IVANHOE ST, PORTLAND, OR 97203-4824
(503) 205-1600
(503) 205-1604
Mailing address
8330 N IVANHOE ST, PORTLAND, OR 97203-4824
(503) 205-1600
(503) 205-1604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010077
OR
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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