Individual provider · Type 1 NPI

Ratha Wong

Pharmacist · Portland, OR

NPI number 1063704450 Active

Practice location

5721 NE 138th Ave
Portland, OR 97230-3495

Call (503) 858-7909 Map

Fax (503) 261-7520

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X9419 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063704450

Ratha Wong's National Provider Identifier is 1063704450, issued on May 4, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Jun 15, 2026.