KINGSAVANH PAUL PHILAVONG

PORTLAND, OR
NPI1639658503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0016139)
Enumeration Date2018-08-10
Last Update Date2018-08-10
Business Address
KINGSAVANH PAUL PHILAVONG PharmD
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
KINGSAVANH PAUL PHILAVONG PharmD
5316 E BURNSIDE ST APT 21
PORTLAND, OR 97215-1280
Phone number:
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