Individual
MR. EVAN KONALA HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1227
Mailing address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009987
OR
Other
Enumeration date
05/30/2007
Last updated
09/12/2012
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