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1033897145
MICHAEL OUANESISOUK
PORTLAND, OR
NPI
1033897145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR RPH-0019528)
Enumeration Date
2023-07-10
Last Update Date
2023-07-25
Business Address
MICHAEL OUANESISOUK
6850 N LOMBARD ST
PORTLAND, OR 97203-6247
Phone number: 503-240-2733
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Mailing Address
MICHAEL OUANESISOUK
6850 N LOMBARD ST
PORTLAND, OR 97203-6247
Phone number: 503-240-2733
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