ANGELINE KWAK

PORTLAND, OR
NPI1255997144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS57970)
Additional Taxonomies183500000X Pharmacist
(Licence: CA  RPH87768)
183500000X Pharmacist
(Licence: OR  RPH-0019337)
183500000X Pharmacist
(Licence: CO  PHA.0024310)
Enumeration Date2019-05-15
Last Update Date2023-11-13
Business Address
ANGELINE KWAK Pharm.D.
3710 SW US VETERANS RD
PORTLAND, OR 97239
Phone number: 503-202-8262
Mailing Address
ANGELINE KWAK Pharm.D.
3710 SW US VETERANS ROAD
PORTLAND, OR 97239
Phone number: 503-220-8262