MRS. Ratha Wong

NPI #1063704450 in Portland, Oregon

Provider Information

NPI Number: 1063704450
Entity Type: Individual
Name: MRS. Ratha Wong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 16401 SE DIVISION ST
City: Portland
State: Oregon
ZIP Code: 97236-1931
Phone: (503) 762-1491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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