Individual
MISS SHENG KIMBERLY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-5267
(503) 988-4345
Mailing address
1767 NW BELLA VISTA AVE, GRESHAM, OR 97030-3683
(503) 803-5700
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0012392
OR
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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