Individual
MICHAEL PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(503) 821-3797
Mailing address
1330 ROCKEFELLER AVE STE 150, EVERETT, WA 98201-1676
(425) 297-5220
(425) 297-5221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60853789
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60853789
WA
Other
Enumeration date
05/06/2019
Last updated
05/14/2026
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