Individual
LAIKANA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
335 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 874-5625
Mailing address
16707 NW AVONDALE DR, BEAVERTON, OR 97006-7641
(503) 781-2887
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
PH.61326849
WA
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0019202
OR
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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