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Thanh Hien Thi Wang, Pharm.D.

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

NPI number1508299249
StatusActive
Last updated in NPPESMar 3, 2020

Details

NPI
1508299249
Entity type
Individual (NPI-1)
Name
Thanh Hien Thi Wang
Credential
Pharm.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2013
Certification date
Mar 3, 2020
Last updated
Mar 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0013698ORYes
183500000X PharmacistPD14044AR
183500000X PharmacistPH-3984HI
183500000X Pharmacist1-105105KS
183500000X PharmacistPH236427MA
183500000X Pharmacist5302044409MI
183500000X Pharmacist58312TX
183500000X PharmacistPH0323GU
183500000X PharmacistR-16582OK
183500000X Pharmacist19109AL
183500000X Pharmacist15203NE
183500000X Pharmacist051299275IL
183500000X PharmacistA1-0004894DE
183500000X PharmacistP7416ID

Practice location

1040 Nw 22nd Ave Ste 420
Portland, OR 97210-3062

Phone 503-406-3809

Mailing address

1040 Nw 22nd Ave Ste 420
Portland, OR 97210-3062

Phone 503-406-3809

Other practice locations

9775 Sw Gemini Dr
Beaverton, OR 97008-7148

Phone 866-202-4014

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