Nina Pham
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Beaverton, OR. Individual provider (NPI-1).
NPI number1316618689
StatusActive
Last updated in NPPESSep 25, 2021
Details
- NPI
- 1316618689
- Entity type
- Individual (NPI-1)
- Name
- Nina Pham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2021
- Certification date
- Sep 25, 2021
- Last updated
- Sep 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RPH-0018629 | OR | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PH61196116 | WA |
Practice location
4855 Sw Western AveBeaverton, OR 97005-3460
Phone 503-813-2000
Mailing address
4855 Sw Western AveBeaverton, OR 97005-3460
Phone 503-813-2000
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