Individual
MR. WASSIM AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19200 SW MARTINAZZI AVE, TUALATIN, OR 97062-6357
(503) 691-4223
(503) 691-4220
Mailing address
19200 SW MARTINAZZI AVE, TUALATIN, OR 97062
(503) 750-7787
(503) 691-4220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10022
OR
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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