Individual
KELLY KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
17779 LOWER BOONES FERRY RD, LAKE OSWEGO, OR 97035-5237
(503) 675-2509
Mailing address
17779 LOWER BOONES FERRY RD, LAKE OSWEGO, OR 97035-5237
(503) 675-2509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016955
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0016955
OR
Other
Enumeration date
10/28/2018
Last updated
05/28/2019
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