JACOB TANG

PORTLAND, OR
NPI1790176006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  6788)
Enumeration Date2015-02-09
Last Update Date2015-02-09
Business Address
-- JACOB TANG
1940 SE 12TH AVE APT 9
PORTLAND, OR 97214-4779
Phone number: 503-231-1043
Mailing Address
-- JACOB TANG
1940SE 12TH, NO. 9
PORTLAND, OR 97214
Phone number: 503-231-1043
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