Individual
JEREMY DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7541
Mailing address
3117 MOONPENNY CT NE, SALEM, OR 97305-2771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013268
OR
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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