Individual
OANH MY NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2440 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-5920
(503) 238-4741
Mailing address
15418 NE ANDRA PL, PORTLAND, OR 97230-4426
(503) 705-2863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10076
OR
Other
Enumeration date
08/21/2013
Last updated
02/14/2014
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