John Mark Kangas

NPI #1447536412 in Dallas, Oregon

Provider Information

NPI Number: 1447536412
Entity Type: Individual
Name: John Mark Kangas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2011
Last Updated: Oct 22, 2011

Practice Location

Address: 138 W ELLENDALE AVE
City: Dallas
State: Oregon
ZIP Code: 97338-1408
Phone: (503) 831-6006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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