Individual
ANDRE HOA TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
Mailing address
5555 RIVER ST, WEST LINN, OR 97068-3238
(503) 888-3641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018602
OR
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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