Individual
MRS. CHRISTINA VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
5253 SE 82ND AVE, PORTLAND, OR 97266-4862
(503) 788-2885
(503) 774-6971
Mailing address
5253 SE 82ND AVE, PORTLAND, OR 97266-4862
(503) 788-2885
(503) 774-6971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0010309
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0010309
OR
Other
Enumeration date
02/21/2012
Last updated
04/21/2017
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