Individual
KHLOTH LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA, PHARMD
Contact information
Practice address
622 SW ALDER ST, PORTLAND, OR 97205-3616
(503) 226-6791
Mailing address
1531 SW HARRISON ST APT 20, PORTLAND, OR 97201-2536
(503) 740-4840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016100
OR
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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