NPI 1003685876

David Jong, PHARMD

Practitioner Pharmacist Lake Oswego, OR

Practice location

Address: 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237
Phone: (503) 675-2509
Mailing address: 4332 Spencer St, Torrance, CA 90503-2452

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0019887 (OR)

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Registry record

NPI: 1003685876
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2023
Record last updated: 6 Sep 2024

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.