Eileen Wang
Pharmacist in Portland, OR. Individual provider (NPI-1).
NPI number1801495239
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1801495239
- Entity type
- Individual (NPI-1)
- Name
- Eileen Wang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2020
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH-0018049 | OR | Yes |
Practice location
3530 Se 88th AvePortland, OR 97266-2396
Phone 503-772-8755
Mailing address
3530 Se 88th AvePortland, OR 97266-2396
Phone 503-788-8755
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