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Individual

KHANG JIMMY MINH DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
11200 SW MURRAY SCHOLLS PL STE 100, BEAVERTON, OR 97007-9816
(866) 331-8041
Mailing address
11200 SW MURRAY SCHOLLS PL STE 100, BEAVERTON, OR 97007-9816
(866) 331-8041

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014219
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014219
OR

Other

Enumeration date
09/16/2014
Last updated
04/27/2020
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