Individual
ALI HOANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
689 SE 148TH AVE, PORTLAND, OR 97233-2582
(503) 688-3920
Mailing address
689 SE 148TH AVE, PORTLAND, OR 97233-2582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016367
OR
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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