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Individual

JING CHENG MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D.

Contact information

Practice address
11425 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3050
(503) 526-1833
Mailing address
16410 SE HIGH MEADOW LOOP, PORTLAND, OR 97236-9388
(503) 998-4477

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016284
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016284
OR

Other

Enumeration date
10/02/2017
Last updated
10/05/2019
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