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Ji Eun Ham

Pharmacist in Clackamas, OR. Individual provider (NPI-1).

NPI number1114348752
StatusActive
Last updated in NPPESDec 25, 2015

Details

NPI
1114348752
Entity type
Individual (NPI-1)
Name
Ji Eun Ham
Sex
Female
Sole proprietor
No
Enumeration date
Dec 29, 2013
Last updated
Dec 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0013771ORYes
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist13771OR

Practice location

16300 Se Evelyn St
Clackamas, OR 97015-9515

Phone 503-305-9695

Mailing address

16300 Se Evelyn St
Clackamas, OR 97015-9515

Phone 503-305-9695

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