Individual
DOMINIC KARR CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-1757
Mailing address
3970 N INTERSTATE AVE UNIT 310, PORTLAND, OR 97227-1084
(626) 757-3617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14802
OR
183500000X
Pharmacist
63293
CA
Other
Enumeration date
07/02/2017
Last updated
07/02/2017
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