| NPI | 1508133018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER NG President 503-657-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OR IP-0002229-CS) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR IP-0002229-CS) |
| 333600000X Pharmacy (Licence: OR IP-0002229-CS) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |