Individual
SU YADANA OO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5431 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 245-7231
Mailing address
1829 SE 122ND AVE, PORTLAND, OR 97233-1301
(503) 867-0934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018085
OR
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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