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Individual

YEN PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4250
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010377
OR

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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