Individual provider · NPI-1

Ahmed Atieh, RPH MBA

Pharmacist · Wood Village, OR

NPI number1861765851
StatusActive
Last updated in NPPESApr 28, 2017

Details

NPI
1861765851
Entity type
Individual (NPI-1)
Name
Ahmed Atieh
Credential
RPH MBA
Sex
Male
Sole proprietor
No
Enumeration date
Feb 22, 2012
Last updated
Apr 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH-0012480ORYes
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0012480OR

Practice location

22855 Ne Park Ln
Wood Village, OR 97060-2606

Phone 503-492-5033 · Fax 503-492-5027

Mailing address

22855 Ne Park Ln
Wood Village, OR 97060-2606

Phone 503-492-5033 · Fax 503-492-5027

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