Individual
MISS DEBORAH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15685 SW 116TH AVE, KING CITY, OR 97224-2651
(503) 639-7377
(503) 620-2167
Mailing address
10236 SW SUSQUEHANNA DR, TUALATIN, OR 97062-9586
(503) 999-1984
(503) 620-2167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012844
OR
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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