Individual
TONY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3030 NE WEIDLER ST, PORTLAND, OR 97232-1851
(503) 280-1300
Mailing address
3030 NE WEIDLER ST, PORTLAND, OR 97232-1851
(503) 280-1300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013654
OR
183500000X
Pharmacist
PH60377444
WA
Other
Enumeration date
08/10/2013
Last updated
08/10/2013
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