NPI 1003159575

Diane Pham, PHARMD

Practitioner Pharmacist Beaverton, OR

Practice location

Address: 14625 SW Allen Blvd, Beaverton, OR 97007-3697
Phone: (714) 204-9190

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH0013429 (OR)

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Registry record

NPI: 1003159575
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2013
Record last updated: 2 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.