Individual
SCOTT GANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(765) 674-3321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03232872-2
OH
1835P2201X
Ambulatory Care Pharmacist
Primary
03232872
OH
Other
Enumeration date
11/02/2013
Last updated
10/02/2023
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