MANORAK CHANTHAVONG

PORTLAND, OR
NPI1841777240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  9171)
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
MANORAK CHANTHAVONG
5717 NE 138TH AVE
PORTLAND, OR 97230-3499
Phone number: 503-261-7547
Mailing Address
MANORAK CHANTHAVONG
5717 NE 138TH AVE
PORTLAND, OR 97230-3499
Phone number:
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