Jacqueline O Pham

NPI #1922360262 in Beaverton, Oregon

Provider Information

NPI Number: 1922360262
Entity Type: Individual
Name: Jacqueline O Pham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 12, 2012
Last Updated: Jun 12, 2012

Practice Location

Address: 8155 SW HALL BLVD
City: Beaverton
State: Oregon
ZIP Code: 97008-6416
Phone: (503) 643-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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