Individual
DR. THEMIS MANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 813-2000
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH61327602
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH61327602
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0019606
OR
1835P2201X
Ambulatory Care Pharmacist
PH61327602
WA
Other
Enumeration date
01/20/2023
Last updated
05/21/2025
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