Individual
SOPHIA HYUN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 101, PORTLAND, OR 97222-4628
(971) 206-5205
Mailing address
4560 SE INTERNATIONAL WAY STE 101, PORTLAND, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0011365
OR
Other
Enumeration date
06/18/2015
Last updated
12/22/2020
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