Individual
JOHN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14700 SE DIVISION ST., PORTLAND, OR 97236
(503) 762-4436
Mailing address
14700 SE 142ND AVE., PORTLAND, OR 97236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0012383
OR
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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