Individual
KHIEM PLATINI AN TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
4849 NE 138TH AVE, PORTLAND, OR 97230-3401
(503) 257-3935
Mailing address
4849 NE 138TH AVE, PORTLAND, OR 97230-3401
(503) 257-3935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016494
OR
Other
Enumeration date
12/27/2018
Last updated
12/31/2024
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