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Individual

MR. ROBERT WONG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2064
(503) 261-7542
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2064
(503) 261-7542

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007936
OR

Other

Enumeration date
11/17/2016
Last updated
11/17/2016
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