| NPI | 1114463783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAN GHATAN Pharmacist 503-839-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 0015782) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |