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1568515781
GORDON JIN WONG
PORTLAND, OR
NPI
1568515781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 36389)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Mr. GORDON JIN WONG R.Ph.
3710 SW US VETERANS HOSPITAL ROAD
PORTLAND, OR 97239
Phone number: 503-220-8262
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Mailing Address
Mr. GORDON JIN WONG R.Ph.
4075 SW 107TH AVE APT 13
BEAVERTON, OR 97005-3255
Phone number: 503-646-5576
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