Individual provider · Type 1 NPI

Jennie Wong

Pharmacist · Portland, OR

NPI number 1235786476 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-1023 Map

Mailing address

13515 SW 122nd Ave
Tigard, OR 97223-2877

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0007917 (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 1235786476

Jennie Wong's National Provider Identifier is 1235786476, issued on Aug 22, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2019.