Individual
CODY DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018969
OR
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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