SUPRANEE GIN

PORTLAND, OR
NPI1033881677
Former NameSUPRANEE SOONTORNPRUEKSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0018437)
Enumeration Date2021-10-01
Last Update Date2021-10-01
Business Address
SUPRANEE GIN Pharmd
3181 SW JACKSON RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8311
Mailing Address
SUPRANEE GIN Pharmd
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311