Individual
MICHELLE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1130 NW 22ND AVE STE 10, PORTLAND, OR 97210-2900
(503) 413-6590
Mailing address
1130 NW 22ND AVE STE 10, PORTLAND, OR 97210-2900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015082
OR
183500000X
Pharmacist
RPH-74983
CA
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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