Jacky Lin, PharmD
Pharmacist in Portland, OR. Individual provider (NPI-1).
NPI number1457101024
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1457101024
- Entity type
- Individual (NPI-1)
- Name
- Jacky Lin
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2024
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH-0019953 | OR | Yes |
Practice location
1821 Ne 33rd AvePortland, OR 97212-5113
Phone 503-535-6031
Mailing address
1430 Nw Hoyt St Apt 807Portland, OR 97209-2284
Phone 608-346-6858
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