Nisse Peng RPH, PHARMD

NPI 1083787436 - Pharmacist - 183500000X

NPI Details
NPI 1083787436
Gender Female
Enumeration Date 11/15/2006
Last Updated 12/14/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3906 SE 79TH AVE
PORTLAND OR, 97206-2325, US
Phone (503) 708-4418
Fax (503) 764-9290
Business Location
3906 SE 79TH AVE
PORTLAND OR, 97206-2325, US
Phone (503) 708-4418
Fax (503) 764-9290
Toxanomy
Taxonomy Code 183500000X
License State Oregon
License Number RPH-11103
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According to our database, Nisse Peng RPH, PHARMD NPI is 1083787436, taxonomy code is 183500000X and license number is RPH-11103, license state is located at Oregon. Nisse Peng RPH, PHARMD physically located at 3906 Se 79th Ave, Portland OR, 97206-2325. NPI Number Nisse Peng RPH, PHARMD has the Individual type.

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1083787436 NPI number is provided on an as is basis without warranty of any kind. 1083787436 is maintained by the National Plan & Provider Enumeration System. The contents of Nisse Peng RPH, PHARMD are for informational purposes only.