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1114356177
BRIAN KEN IKEDA
PORTLAND, OR
NPI
1114356177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0013697)
Enumeration Date
2013-11-09
Last Update Date
2014-12-18
Business Address
-- BRIAN KEN IKEDA Pharm.D.
16100 SW 72ND AVE
PORTLAND, OR 97224-7745
Phone number: 503-626-9436
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Mailing Address
-- BRIAN KEN IKEDA Pharm.D.
16100 SW 72ND AVE
PORTLAND, OR 97224-7745
Phone number: 503-626-9436
Copy
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